CAJ | 학술논문

目的:为了解经皮肝穿胆道造影(PTC)及经皮肝穿胆道造影置管引流(PTCD)术后远期效果,为临床选择应用提供参考.方法:对我院46例PTC及PTCD病例资料随访分析.结果:男23例,女23例,年龄23~78岁,肝功能异常27例,正常19例.穿刺成功次数1~5次,平均1.67±1.08次,1针刺中率为65.22%.术后诊断为肝胆管壶腹周围癌19例,放弃手术治疗3例,转院1例,术后生存2月2例,2年8例,5年4例,7年1例;其余27例诊断为结石均痊愈生活良好.结论:PTC仍是基层医院全面清楚了解胆管树内病变手段之一.
목적:위료해경피간천담도조영(PTC)급경피간천담도조영치관인류(PTCD)술후원기효과,위림상선택응용제공삼고.방법:대아원46례PTC급PTCD병례자료수방분석.결과:남23례,녀23례,년령23~78세,간공능이상27례,정상19례.천자성공차수1~5차,평균1.67±1.08차,1침자중솔위65.22%.술후진단위간담관호복주위암19례,방기수술치료3례,전원1례,술후생존2월2례,2년8례,5년4례,7년1례;기여27례진단위결석균전유생활량호.결론:PTC잉시기층의원전면청초료해담관수내병변수단지일.
Objective: To study the long term effect of PTC and PTC and indwelling drainage (PTCD). Methods:46 cases of PTC and PTCD were reviewed and followed-up retrospectively. Results: The patients were 23 men and 23 women, aged 23 to 78 years and 27 patients with abnormal liver function while 19 with normal. The paracentesis succeeded after 1~5 times of puncture,arerage 1.67±1.08 times.The rate of successful puncture at the first try was 65.22%. Postoperative diagnosis: 19 cases diagnosed with bile duct periampullary cancer, 3 abandoned surgical treatment and 1 transferred to another hospital.prognosis: 2 patients survived 2 months, 8 cases 2 years, 4 cases 5 years, and 1 case 7 years, 27 patients diagnosed with gallstones were all cured and lived well. Conclusion:PTC is still one of the most economic means to comprehensively examine the lesions within the biliary tree in basic hosptals.