Treating Malignant Obstructive Jaundice with Percutaneous Transhepatic Cholangial Drainage Guided by Dig-ital Subtraction Angiography and Color Doppler Ultrasonography
- VernacularTitle:数字减影血管造影联合彩超引导经皮经肝胆管穿刺置管引流术治疗恶性梗阻性黄疸
- Author:
Qiang LIU
1
;
Jinwei QIANG
;
Changxue JI
;
Li WANG
;
Yongli WANG
Author Information
1. 上海市奉贤区中心医院介入科
- Keywords:
Obstructive jaundice;
Ultrasonography;
Digital subtraction angiography;
Percutaneous transhepatic cholangial drainage
- From:
Chinese Journal of Clinical Medicine
2014;(3):311-313
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinital value of percutaneous transhepatic cholangial drainage (PTCD) guided by dig-ital subtraction angiography(DSA) and color Doppler Ultrasonography in the treatment of patients with malignant obstructive jaundice so as to improve the success rate of PTCD puncture and internal and external drainage and reduce the complications . Methods :Thirty-six patients with malignant obstructive jaundice were punctured with the guidance of color Doppler ultrasonog-raphy .Then the wire and catheter were placed into the target area guided by DSA in order to perform the internal and external drainage .Results:The success rates of once and twice puncture were 89% and 100% ,respectively .The once success rate of internal and external drainage was 81% ,and the total success rate of internal and external drainage was 94% .No severe com-plication occurred .Conclusions :PTCD guided by DSA and color Doppler ultrasonography is an ideal method for internal and ex-ternal drainage in patients with malignant obstructive jaundice because of its safety ,simplicity and high success rate .
