CAJ | 학술논문

目的本研究探讨左右肝管以及次级分支经皮肝穿刺胆道引流术(PTCD)治疗高位梗阻性黄疸的疗效.方法对13例高位梗阻性黄疸患者(男性7例,女性6例,平均年龄67.5岁)行左、右肝管以及次级分支PTCD术,其中,对11例左右肝管水平梗阻患者行双侧肝管PTCD术,置入2根胆汁引流管;对2例左右肝管次级分支水平梗阻患者行次级肝管分支PTCD术,置入3根胆汁引流管,其中1例分次置入胆汁引流管.结果全部患者手术均成功.治疗后2周内总胆红素明显下降,由(421.5±102.5)μmol/L,降至(150±58)μmol/L.各引流管胆汁引流通畅,平均每日每根引流管的胆汁引流量约为(285±50)mL,皮肤粘膜的黄染程度较入院时减轻.结论多分支胆汁引流治疗高位梗阻造成的黄疸疗效较为满意.
목적본연구탐토좌우간관이급차급분지경피간천자담도인류술(PTCD)치료고위경조성황달적료효.방법대13례고위경조성황달환자(남성7례,녀성6례,평균년령67.5세)행좌、우간관이급차급분지PTCD술,기중,대11례좌우간관수평경조환자행쌍측간관PTCD술,치입2근담즙인류관;대2례좌우간관차급분지수평경조환자행차급간관분지PTCD술,치입3근담즙인류관,기중1례분차치입담즙인류관.결과전부환자수술균성공.치료후2주내총담홍소명현하강,유(421.5±102.5)μmol/L,강지(150±58)μmol/L.각인류관담즙인류통창,평균매일매근인류관적담즙인류량약위(285±50)mL,피부점막적황염정도교입원시감경.결론다분지담즙인류치료고위경조조성적황달료효교위만의.
Objective Our aim was to evaluate the therapeutic effect of the right and left hepatic duct and secondary branches percutaneous transhepatic cholangial drainage (PTCD) Treatment of High obstructive jaundice. Methods 13 cases of high obstructive jaundice patients (7 were males and 6 females, average age 67.5 years), the right and left hepatic duct and secondary branches PTCD surgery, the level of the left and right hepatic duct obstruction the 11 routine bilateral hepatic duct PTCD surgery ,placed two bile drainage tube; PTCD surgery, the level of sub-branch of the left hepatic duct obstruction in 2 cases of secondary hepatic duct branch placed three bile drainage tube, including one case inside the bile drainage tube. Results All patients with surgical success. 2 weeks after treatment total bilirubin decreased from (421.5 ± 102.5) μmol/L, to (150 ± 58) μmol/L Patency of the drainage tube bile drainage, average each day drainage tube bile drainage is about (285 ± 50) mL, yellowish discoloration of the skin and mucous membranes than alleviate admission. Conclusion Multi-branch bile drainage is effective for treatment of high obstruction caused by jaundice.