对比观察超声引导下经皮经肝胆管穿刺引流术与经皮经肝胆囊穿刺引流术姑息治疗晚期恶性梗阻性黄疸-论文.pdf

《对比观察超声引导下经皮经肝胆管穿刺引流术与经皮经肝胆囊穿刺引流术姑息治疗晚期恶性梗阻性黄疸-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、史垦堡渔痘学2014年第11卷第9期ChinJIntervImagingTher，2014，Vol11，No9·561·Comparisonbetweenultrasound—guidedpercutaneoustranshepaticbile—ductdrainageandpercutaneoustranshepaticgallbladderdrainageintreatmentoflate--stagemalignantobstructivejaundiceD0NGCai—hong，ZHOUNing—r

2、uing，XUBin(DepartmentofUltrasound，theFifthPeople'sHospitalofShanghai，FudanUniversity，Shanghai200240，China)[Abstract]ObjectiveTocomparethevalueofultrasound-guidedpercutaneoustransbepaticbile-duetdrainage(PTBD)withpercutaneoustranshepatiegallbladderdrainage(

3、PTGD)intreatmentoflate—stagemalignantobstructivejaundiee．MethodsTotally79patientswithlate-stagemalignantobstructivejaundieeunderwent120timesofPTBD(PTBDgroup，47cases)and39timesofPTGD(PTGDgroup，32cases)．Theoperationtime，decreasingofbilirubininblood，theinei—d

4、eneeofbleedinginbileductandbiliaryleakage，andtheeffectivedrainagetimeforonecatheterwererespectivelyeom—paredbetweenPTBDgroupandPTGDgroup．ResultsTherewasnosignificantdifferencebetweenPTBDandPTGDgroupinbilirubindecreasinginblood，northeincidenceofbleedinginbi

5、leductandbiliaryleakage(allP>0．05)．ThemeanoperationtimeofPTBDwas(7．07±2．24)min，whileofPTGDwas(5．94±2．03)min(P=0．02)．Themeaneffee-tivedrainagetimepercatheterinPTBDgroupwas(100．56士I1．31)days，longerthanthatinPTGDgroup([63．58-I-6．23]days，P<0．001)．ConclusionUlt

6、rasound—guidedPTBDismoreappropriatethanPTGDforprolongingeffectivedrainagetimeintreatmentoflate—stagemalignantobstructivejaundice．[Keywords]Ultrasonography；Jaundice，obstructive对比观察超声引导下经皮经肝胆管穿刺引流术与经皮经肝胆囊穿刺引流术姑息治疗晚期恶性梗阻性黄疸。董彩虹，周宁明，徐彬(复旦大学附属上海市第五人民医院超声医学科，上海2

7、00240)[摘要]目的比较超声引导下经皮经肝胆管穿刺置管引流术(PTBD)及经皮经肝胆囊穿刺置管引流术(PTGD)姑息治疗晚期恶性梗阻性黄疸的价值。方法纳入79例晚期恶性梗阻性黄疸患者，其中47例共接受120次超声引导下PT—BD(PTBD组)，32例共接受39次PTGD(PTGD组)。比较PTBD组和PTGD组手术操作时间、黄疸减退情况、胆道出血和胆汁外漏发生率及引流管有效带管时间。结果两组黄疸减退情况、胆道出血和胆汁外漏发生率差异均无统计学意义(P均>O．05)；PTBD组手术操作时间为(7．O7±2

8、．24)rain，PTGD组操作时间为(5．94士2．03)min，差异有统计学意义