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超声引导经皮经肝胆囊穿刺胆道造影的临床应用 被引量:3

Application of ultrasonic leading puncture percutaneous trans-hepatic and trans-gallbladder cholangiography
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摘要 目的 探讨超声引导经皮经肝胆囊穿刺胆道造影 (TGB -PTC)在临床中的应用。方法  2 5例未曾行胆系手术患者在B超引导下于右侧第 6,7肋间或右肋缘下经皮经肝穿刺胆囊后 ,缓慢注入稀释的泛影葡胺行胆道造影 ,显示胆总管及肝总管、肝内胆管等所有的胆系情况。结果 穿刺成功 2 4例 ,肝内外胆管显影良好 2 2例 ,2例只有胆囊显影。无一例发生出血、胆漏、感染、急性胰腺炎等并发症。结论 超声引导经皮经肝胆囊穿刺胆道造影具有良好而广阔的临床应用价值。 Objective To study the clinical application of ultrasonic leading puncture percutaneous trans-hepatic and trans-gallbladder cholangiography(TGB-PTC). Methods 25 patients without previous operations on biliary system were enrolled in this study, the point of puncture was at sixth or seventh intercostal space or inferocostal space. The puncture was percutaneous trans-hepatic and trans-gallbladder. Dilute meglucamine diatrizoate solutions were infused slowly after successful puncture was successful. The dilute meglucamine diatrizoate solutions flowed into bile duct after gallbladder was filled and all bile ducts were developed. Results\ Punctures were successful in 24 patients, and cholangiographics were successful in 22 patients. There were no complications in all 22 patients. Conclusion\ TGB-PTC is an effective and promising method in cholangiography.
出处 《广东医学》 CAS CSCD 2000年第3期209-210,共2页 Guangdong Medical Journal
关键词 胆道造影 经皮经肝 胆囊穿刺 超声引导 Cholangiography Puncture percutaneous trans-hepatic and trans-gallbladder Ultrasonic leading
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