Application and clinical evaluation of ultrasound-guided biliary drainage tube replacement technology
10.3969/j.issn.1001-5256.2022.11.020
- VernacularTitle:超声引导下胆道系统引流管更换技术的应用分析
- Author:
Anhong ZHANG
1
,
2
;
Ruixin ZHANG
3
;
Jie MA
2
;
Bo QIU
2
;
Xin YI
2
;
Zhihua LU
2
;
Lijie ZHENG
2
;
Hanguang DONG
2
;
Tian HAN
4
;
Li ZHANG
1
;
Yuanhui JIANG
2
;
Jun XU
1
Author Information
1. Department of Hepatobiliary and Pancreatic Surgery and Liver Transplant Center, The First Hospital of Shanxi Medical University, Taiyuan 030000, China
2. Department of General Surgery, Qilu Hospital of Shandong University, Qingdao, Shandong 266035, China
3. School of Basic Medicine, Shanxi Medical University, Taiyuan 030000, China
4. The First Clinical Medical College, Shanxi Medical University, Taiyuan 030000, China
- Publication Type:Original Articles_Biliary Diseases
- Keywords:
Ultrasonography, Interventional;
Biliary Tract Surgical Procedures;
Drainage;
Punctures;
Drainage Tube
- From:
Journal of Clinical Hepatology
2022;38(11):2542-2545
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the preliminary application results of ultrasound-guided biliary drainage tube replacement, present the corresponding technical points, and discuss the operation strategy and clinical application value. Methods The clinical data of 60 patients who underwent ultrasound-guided biliary drainage tube replacement in Qilu Hospital of Shandong University between August 2014 and August 2020 were retrospectively analyzed. The operation procedure, clinical applications, and postoperative complications were summarized and analyzed. Results Fifty-eight of the 60 patients (96.67%) were successfully replaced with drainage tubes along the original sinus. Among them, dilated sinus tracts of 47 patients were placed with coarse-grade drainage tubes, and dilated sinus tracts of the remaining 11 patients were placed with the original type of drainage tubes, with the mean operation time of 15.8(12.0-19.0) min under local anesthesia. In total, bile was drained from 28 patients receiving PTCD drainage, 23 patients receiving gallbladder drainage, and 9 patients receiving T-tube drainage. The post-operation evaluation revealed that the drainage situation has improved, with a 100% effective rate. No obvious abnormality was found in the postoperative follow-up visit. Conclusion The replacement of drainage tube under ultrasound guidance is simple, safe and feasible, and it provides further promotion in clinical practice with sufficient data support.
