摘要
目的 讨论经皮经肝穿刺放置引流管 (简称PTCD)减压引流治疗急性重症胆管炎 (简称AOSC)的可行性及疗效。方法 1996年 3月～ 2 0 0 1年 4月行PTCD治疗AOSC病人 15例 ,男 10例 ,女 5例 ,胆石症术后 8例 ,胆管癌 2例 ,胰腺癌 3例 ,胆道畸形 2例 ,其中 4例放置了胆道内支架。结果 15例病人技术成功率 10 0 % ,无 1例出现穿刺置管所致的严重并发症。病情缓解后针对病因有 8例行手术治疗痊愈 ,4例不能手术的肿瘤患者植入了胆道内支架 ,1例于置管后 3d死于多脏器功能衰竭 ,2例置管引流病情稳定后因各种原因放弃继续治疗 ,保留引流管自动出院。结论 PTCD可有效降低胆管压力 ,缓解病情 ,降低AOSC的死亡率 ,为进一步的病因治疗创造条件。
Objective: Discuss the feasibility and curative effect of PTCD which was used to treat cases of AOSC.Methods:From March 1996 to April 2001,there were 15 cases (10 males and 5 females ) treated by PTCD.Among them were 8 cases with cholelithiasis and operation history of biliary tract, 2 cases with cholangiocellular carcinoma,3 cases with pancreatic cancer and 2 cases with biliary tract deformity. Among these 15 cases,4 cases were placed interior stent of biliary tract.Results:These 15 cases were all successful in technical treatment ,none of them had severe complications caused by puncture. After remission,8cases were cured by operation, 4 cases with carcinoma (who can't be operated )were placedinterior stent of biliary tract. After three days of placement of mtcrior stent, died from electrolyte disturbance and MOF ,2 cases gave up further treatment and voluntarily asked to be discharged from hospital.Conclusions:PTCD can effectively lower the pressure of biliary tract ,remit the danger of cases and reduce dead rate of AOSC ,which provided possibility for further treatment.
出处
《中国现代医学杂志》
CAS
CSCD
2004年第5期100-101,共2页
China Journal of Modern Medicine
关键词
胆汁淤积
急性重症胆管炎
放射学
介入性
cholestasis,AOSC(Acute Obstructive Suppurative Cholangitis)
radiology
interyention.
