Clinical analysis of digital subtraction angiography-guided percutaneous transhepatic cholangial drainage in treatment of acute obstructive suppurative cholangitis
10.3969/j.issn.1002-1671.2025.01.024
- VernacularTitle:数字减影血管造影引导下经皮经肝胆管引流术治疗急性梗阻性化脓性胆管炎临床分析
- Author:
Weiguang SHEN
1
;
Xiaodong JIANG
1
;
Li LIANG
1
;
Jie JIN
1
Author Information
1. 南通大学第二附属医院介入科,江苏 南通 226001
- Publication Type:Journal Article
- Keywords:
digital subtraction angiography;
percutaneous transhepatic cholangial drainage;
acute obstructive suppurative cholangitis
- From:
Journal of Practical Radiology
2025;41(1):106-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of digital subtraction angiography(DSA)-guided percutaneous transhepatic cholangial drainage(PTCD)in treatment of acute obstructive suppurative cholangitis(AOSC).Methods The relevant data of DSA-guided PTCD in treatment of AOSC patients were collected to analyze its safety and effectiveness.Results Among the 70 patients,there were 2 cases of bleeding,1 case of drainage tube blockage,and 1 case of drainage tube detachment,and no other serious surgical related complications occurred.The symptoms of 66 patients were improved from 3 to 7 d after PTCD compared with those before PTCD,and 4 patients died during hospitalization.The average daily bile drainage volume of patients was(650±130)m L,and the changes of leukocyte,total bilirubin,alanine aminotransferase and alkaline phosphatase indexes before and after surgery were statisti-cally significant(P<0.05).Conclusion DSA-guided PTCD in treatment of AOSC is a safe and effective minimally invasive method with high technical success rate,which can timely relieve obstruction,improve symptoms,reduce mortality,and create opportunities and conditions for secondary surgery or interventional therapy.
