X-GUIDED AND US-GUIDED PERCUTANEOUS TRANSHEPATIC CHOLANGIO- DRAINAGE
- VernacularTitle:电视和超声导向下经皮肝穿刺胆管引流术
- Author:
Zhenxing TU
- Publication Type:Journal Article
- From:
Academic Journal of Second Military Medical University
1982;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
38 percutaneous transhepatic cholangio-drainages (PTCD) were performed in 35 patients, and two failed.The successful rate was 94.7%. X-PTCD was done in 18 cas s, and US-PTCD in 20 cases, their successful rates were 100% and 90% respectively. Prc-operativelv, PTCD was applied to 22 patients with biliary obstruction.The mean period of drainage was 15 days.200-500 ml of bile wero drained cvery day. PTCD was applied to 11 patients with malignent cancer. Fover appeared in 5 cas s, block of the catheter in 2 cases, dislocation of the catheter in 5 cases, and biliary peritonitis in one case.It seems that PTCD may decrease the operative mortality and prolong the survival time of the patients with obstructive jaundice.The procedure of X-PTCD can be easily performed and adopted by a beginner.US-PTCD can be performed with an intrahepatic bile duct whch is wider than 8 mm in diameter, cven without exposure to x-ray.
