Application of ultrasound-guided percutaneous transhepatic bile duct drainage in 100 cases
10.3760/cma.j.issn.1008-6706.2019.18.014
- VernacularTitle: 超声引导经皮经肝穿刺胆管引流术100例应用观察
- Author:
Yingtao HE
1
;
Lidan XIE
;
Haiping ZHOU
;
Weiye LU
;
Fanghong CHEN
Author Information
1. Department of Ultrasound, Lishui Central Hospital, Lishui, Zhejiang 323000
- Publication Type:Journal Article
- Keywords:
Drainage;
Bile ducts;
Punctures;
Liver;
Ultrasongraphy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(18):2235-2238
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of percutaneous transhepatic bile duct drainage guided by ultrasound.
Methods:From June 2016 to June 2018, 100 patients with obstructive jaundice in Lishui Central Hospital were treated with ultrasound-guided percutaneous transhepatic bile duct drainage.The success rate and postoperative complications of the patients were analyzed.
Results:Among 100 cases, 98 cases were successful, 2 cases failed, and the failure rate was 2%.The success rate of one-time catheterization in 0.5-2.0 cm patients with intrahepatic bile duct diameter(98.91%) was significantly higher than that in intrahepatic bile duct diameter 0.3-0.4 cm patients(87.50%), compared with two different diameter puncture catheterization, the difference was statistically significant(χ2=12.369, P<0.05). All 98 cases with successful puncture were followed up after operation (P<0.05), and there was no statistically significant difference between the two groups(P<0.05). The drainage tube was removed in 2 cases, bile duct infection was found in 2 cases, the remaining patients were unobstructed, and there were no obvious complications.
Conclusion:Ultrasound-guided percutaneous transhepatic catheterization and drainage for the treatment of obstructive jaundice caused by malignant tumor is simple, reliable, safe and effective, and has a certain clinical value.It is worthy of popularizing and application.
