CAJ | 학술논문

目的：探讨高位恶性梗阻性黄疸患者的胆汁引流方法。方法13例高位梗阻性黄疸患者经 B 超、CT、MRCP 证实,均采用 C 型臂下经皮穿刺右肝管,然后应用 COOK 公司产胆汁内外引流管行左右肝管外引流术。结果13例患者中,胰头癌1例、肝门区转移瘤1例、胆管癌11例。全部成功将内外引流管骑跨于左右肝管内,外引流成功。随访1~15月,2例患者因恶病质消耗1月、4月后死亡,其余患者黄疸减轻,食欲改善。结论骑跨式外引流术是高位完全性梗阻性黄疸患者的有效引流手段。
목적：탐토고위악성경조성황달환자적담즙인류방법。방법13례고위경조성황달환자경 B 초、CT、MRCP 증실,균채용 C 형비하경피천자우간관,연후응용 COOK 공사산담즙내외인류관행좌우간관외인류술。결과13례환자중,이두암1례、간문구전이류1례、담관암11례。전부성공장내외인류관기과우좌우간관내,외인류성공。수방1~15월,2례환자인악병질소모1월、4월후사망,기여환자황달감경,식욕개선。결론기과식외인류술시고위완전성경조성황달환자적유효인류수단。
Objective To explore the bile drainage method in patients with high malignant obstructive jaundice.Methods 13 pa-tients with high obstructive jaundice were confirmed by type-B ultrasonography,CT and MR cholangiopancreatography (MRCP). Under C arm X-ray machine,we performed percutaneous puncture of the right hepatic duct and external drainage of the left and right hepatic ducts by the internal and external bile drainage tube (COOK Company).Results All of 13 patients,1 was carcinoma of head of pancreas,1 was metastatic tumor in hepatic hilar region,and 1 1 cases were cholangiocarcinomas.They were successfully per-formed external biliary drainage riding across the left and right hepatic ducts.The patients were followed up at 1-1 5 months.2 pa-tients died with cachexia after 1 and 4 months.For the other patients,jaundice was relieved and appetite was improved.Conclusion The overriding external biliary drainage is an effective drainage method for completely high obstructive jaundice.