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目的探讨DSA下联合超声经皮介入治疗恶性梗阻性黄疸的临床应用效果并进行分析。方法对32例恶性肿瘤所致的梗阻性黄疸,其中原发性肝癌4例,胆管癌21例,胆囊癌肝门转移2例,转移癌3例,胰头癌2例,均在DSA下联合超声定位穿刺进行胆道外或内外引流,对姑息性胆汁引流的效果术后常规复查生化全项。结果本组32例患者应用该方法定位好后均一针穿刺并引流成功,成功率100%,其中21例外引流,11例内外引流,达到了减轻黄疸,改善肝功能和相关症状,提高患者生活质量的目的。结论 DSA下联合超声定位穿刺经皮介入治疗恶性梗阻性黄疸是一种非常安全有效的方法,有助于减轻患者痛苦,同时很大程度减少了患者和介入医务工作者的射线照射剂量。
Objective To investigate the clinical effect of percutaneous interventional ultrasound in the treatment of malignant obstructive jaundice with DSA. Methods 32 cases of obstructive jaundice caused by malignant tumor, including 4 cases of primary hepatocellular carcinoma, 21 cases of cholangiocarcinoma, 2 cases of gallbladder carcinoma hilar metastasis, 3 cases of metastatic carcinoma and 2 cases of pancreatic carcinoma were all under DSA Ultrasound positioning puncture for external or external biliary drainage, the effect of palliative biliary drainage routine review of biochemical items. Results The group of 32 patients were successfully punctured and drained successfully with this method. The success rate was 100%. Among them, 21 cases were drained and 11 cases were drained internally and externally, which relieved jaundice, improved liver function and related symptoms, and improved patients’ quality of life the goal of. Conclusions Percutaneous interventional ultrasound guided percutaneous puncture with DSA in the treatment of malignant obstructive jaundice is a very safe and effective method to reduce the pain of patients and greatly reduce the radiation dose of patients and interventional workers.