CAJ | 학술논문

目的探讨经皮肝穿胆道引流围术期常见并发症发生的原因、预防和治疗方法.方法 241例恶性阻塞性黄疸患者,行经皮肝穿胆道引流术,单纯内外引流管置入123例,支架118例,其中置入2枚支架者2l例.结果术中术后并发症94例,发生率为39.00%,分别为胆心综合征或胆心反射2l例,胆道大出血12例.引流管堵塞34例,菌血症13例,胆汁异常分泌7例,引流管脱出异位致胆汁性腹膜炎4例,支架位置不佳3例.结论经皮肝穿胆道引流围术期常见并发症应以预防为主,规范操作减少并发症的发生,分析并发症产生的原因提高并发症的处理能力.
목적 탐토경피간천담도인류위술기상견병발증발생적원인、예방화치료방법.방법 241례악성조새성황달환자,행경피간천담도인류술,단순내외인류관치입123례,지가118례,기중치입2매지가자2l례.결과 술중술후병발증94례,발생솔위39.00%,분별위담심종합정혹담심반사2l례,담도대출혈12례.인류관도새34례,균혈증13례,담즙이상분비7례,인류관탈출이위치담즙성복막염4례,지가위치불가3례.결론 경피간천담도인류위술기상견병발증응이예방위주,규범조작감소병발증적발생,분석병발증산생적원인제고병발증적처리능력.
Objective To analyzed the causes, prevention and management of perioperative complications occurred in percutaneous transhepatic biliary drainage ( PTBD). Methods Two hundred and forty - one cases of malignant obstructive jaundice patients underwent percutaneous transhepatic biliary drainage, internal and external biliary drainage tubes were placed in 123 cases, 118 cases were placed stent, 21 cases were placed two stents. Results Intraoperative and postoperative complications occurred in 94 patients, the incidence rate was 39. 00%. Gallbladder cardiac reflex or biliary - cardiac syndrome in 21 cases, biliary tract bleeding in 12 cases, drainage tube blocked in 34 cases, bacteremia in 13 cases, abnormal secretion of bile in 7 cases, caused by biliary drainage tube extrusion of ectopic peritonitis in 4 cases, poor stent location in 3 cases. Conclusions Perioperative complications of percutaneous transhepatic biliary drainage should focus on prevention, operations have been standardized to reduce the incidence of complications, analyze the causes of complications increased complications in processing power.