| 超声引导下经皮肝穿置管引流术治疗恶性阻塞性黄疸的价值 |
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| 引用本文： | 张良西,胡向东,张义胜,赵国海.超声引导下经皮肝穿置管引流术治疗恶性阻塞性黄疸的价值[J].中国超声诊断杂志,2004,5(7):504-506. |
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| 作者姓名： | 张良西 胡向东 张义胜 赵国海 |
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| 作者单位： | 1. 241001,安徽省芜湖市,皖南医学院附属弋矶山医院超声医学科
2. 241001,安徽省芜湖市,皖南医学院附属弋矶山医院超声普外科 |
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| 摘 要： | 目的 探讨超声引导下经皮经肝胆管穿刺置管引流（PTCD）对恶性阻塞性黄疸的临床应用价值及操作方法的改进。方法 回顾性分析11例恶性肿瘤所致的阻塞性黄疸患者，应用普通凸阵探头引导行PTCD术。结果 11例共行13次PTCD，其中1例行左外叶下段支胆管穿刺失败而必行右前支穿刺，其余均一次性穿刺成功，手术成功率达92.3%（12/13）。术后观察黄疸明显减退者7例（63.6%），轻度减退者4例（36.4%)。结论 普通凸阵探头引导下PTCD术操作方便，手术成功率高，疗效确切，值得临床推广应用。
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| 关 键 词： | 超声引导 经皮肝穿置管引流术 治疗 恶性阻塞性黄疸 |
Clinical Value of Ultrasound Guided Percutaneous Transhepatic Cholangiographic Drainage in Malignant Obstructive Jaundice |
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| Zhang Liangxi,Hu Xiangdong,Zhang Yisheng,et al.Clinical Value of Ultrasound Guided Percutaneous Transhepatic Cholangiographic Drainage in Malignant Obstructive Jaundice[J].Chinese Journal of Ultrasound Diagnosis,2004,5(7):504-506. |
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| Authors: | Zhang Liangxi Hu Xiangdong Zhang Yisheng |
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| Affiliation: | Zhang Liangxi,Hu Xiangdong,Zhang Yisheng,et alDepartment of Ultrasonography,Yijishan Hospital,Wannan Medical College,Wuhu,Anhui 241001 China |
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| Abstract: | Objective To study the clinical value of ultrasound guided percutaneous transhepatic cholangiographic drainage(PTCD) in malignant obstructive jaundice.Methods The effects of PTCD guided by ultrasound were summarized restrospectively in 11 cases with malignant obstrctive jaundice.Results Thirteen procedures of PTCD were implemented in the 11 patients.Among 13 procedures,the successful rate was 92 3%(12/13).Among 11 patients,jaundice obviously regressed in 7 patients(63 6%),and mildly regressed in 4 patients (36 4%).Conclusions PTCD guided by ultrasound has the features of convenience with high successful rate.It is worthy to be widely used in clinical practice. |
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| Keywords: | Ultrasound guided Percutaneous transhepatic cholangiographic drainage (PTCD) Obstructive jaundice |
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