【摘要】 目的探讨超声定位联合X线引导经皮穿刺胆管置管引流术(PTCD)在梗阻性黄疸介入治疗中的临床意义。方法将105例梗阻性黄疸患者随机分为单纯X线引导组(A组)和联合导向组(B组),A组57例,B组48例,比较两组的平均穿刺次数、胆道出血率、对比剂用量、平均曝光时间及平均手术时间。结果联合导向组的平均穿刺次数、对比剂用量及胆道出血率少于单纯X线组,且平均曝光时间和平均手术时间亦短于单纯X线组(P<0.01)。结论超声定位联合X线引导下行PTCD具有安全、简便、并发症少的优点,是一种治疗梗阻性黄疸的有效方法。更多还原

【Abstract】 Objective To investigate the clinical significance of ultrasound and X-ray guided puncture in interventional treatment of obstructive jaundice.Methods 105 patients of obstructive jaundice were randomly divided into group A and group B.57cases in group A were punctured under the guidance of simple X-ray,while 48cases in group B were punctured under combined guidance of ultrasound and X-ray.all patients were treated with PTCD.The average number of puncture,biliary tract bleeding rate,the amount of contrast agent,the average exposure time and the average operation time were compared between two groups.Results The average number of puncture,the amount of contrast agent and biliary tract hemorrhage rate in group B were less than the group A,and the average exposure time and the average operation time were shorter than X-ray group A(P < 0.01).Conclusion PTCD under combined guidance of ultrasound and X-ray was safe,simple,and less complications methods,for the treatment of obstructive jaundice.更多还原