Clinical study of ultrasound guidance combined with X-ray fluoroscopy for percutaneous transhepatic biliary drainage
10.3969/j.issn.1002-1671.2025.02.027
- VernacularTitle:超声引导联合X线透视一体化进行经皮肝穿刺胆管引流的临床研究
- Author:
Tianhua YUE
1
;
Peng YUAN
;
Fajing CHEN
;
Xianqi YU
;
Hui ZHAO
Author Information
1. 南通大学杏林学院附属建湖医院介入放射科,江苏 建湖 224700
- Publication Type:Journal Article
- Keywords:
percutaneous transhepatic biliary drainage;
ultrasound guidance;
X-ray fluoroscopy;
obstructive jaundice
- From:
Journal of Practical Radiology
2025;41(2):297-301
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application value of ultrasound guidance combined with X-ray fluoroscopy for percutaneous transhepatic biliary drainage(PTBD).Methods A total of 157 patients with obstructive jaundice who underwent PTBD were selected and then divided into a control group(75 cases)and an observation group(82 cases)according to different guidance methods.The control group underwent puncture and catheterization of the biliary system under the guidance of traditional X-ray fluoroscopy.Meanwhile,the observation group underwent the puncture to the biliary system under ultrasound guidance and the catheterization under X-ray fluoroscopy.The success rates of puncture,operation and initial needle puncture,puncture times,operation time,X-ray fluoroscopy time,radiation dose and complication rate were compared between the two groups.Results Puncture and catheterization were successful in both groups,and the success rates of puncture and operation were all 100％.In the observation group,the success rate of initial needle puncture was 90.24％(74/82),which was higher than 74.67％(56/75)in the control group;the mean puncture times was 1.14,which was less than 1.77 in the control group;the mean operation time was 30.02 min,which was less than 40.09 min in the control group;the mean X-ray fluoroscopy time was 4.03 min,which was less than 6.61 min in the control group;the mean radiation dose was 49.08 mGy,which was less than 82.29 mGy in the control group,and all the differences above between the two groups were statistically significant(P＜0.05).In the observation group,there were 2 cases with biliary hemorrhage,3 cases with biliary infection,and 5 cases with biliary fistula(including 2 cases of secondary biliary peritonitis);while the control group had 10 cases with biliary hemorrhage,15 cases with biliary infection,13 cases with biliary fistula and 9 cases with biliary peritonitis,and the differences between the two groups were statistically significant(P＜0.05).Conclusion Ultrasound guidance combined with X-ray fluoroscopy for PTBD is safe and effective,with significantly short operation time,low radiation dose and fewer complications,which has a certain popularity value in different level hospitals.
