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目的探讨经皮经肝穿刺胆道引流术(PTCD)治疗恶性梗阻性黄疸的临床疗效。方法恶性梗阻性黄疸53例,均采用B超引导的PTCD术治疗,术后常规X线下胆道造影。结果PTCD术穿刺一次成功41例,2次成功12例,无失败,无显著并发症发生。51例黄疸明显减轻,食欲体重增加,2例黄疸增加,术后最长生存期2年。结论PTCD是一种治疗恶性梗阻性黄疸姑息性治疗的有效方法,具有创伤小、安全、简便、经济等优点。
Objective To investigate the clinical effect of percutaneous transhepatic biliary drainage (PTCD) in the treatment of malignant obstructive jaundice. Methods Fifty-three patients with malignant obstructive jaundice were treated with B-guided PTCD. Conventional X-ray cholangiography was performed. Results A total of 41 cases were successfully punctured with PTCD and 12 cases were succeeded in 2 cases. There was no failure and no significant complications occurred. 51 cases of jaundice significantly reduced appetite weight gain, 2 cases of jaundice increased, the longest postoperative survival of 2 years. Conclusions PTCD is an effective method for palliative treatment of malignant obstructive jaundice. It has the advantages of small trauma, safety, simplicity and economy.