CAJ | 학술논문

目的：探讨彩色多普勒超声在经皮肝行胆道内支架置入术中的临床应用价值。方法在彩色多普勒超声辅助下对68例梗阻性黄疸的患者进行经皮肝胆道内支架置入术的操作，其中恶性梗阻性黄疸患者59例，良性梗阻性黄疸的患者9例。单侧胆管扩张5例，双侧胆管同时扩张63例。扩张胆管内径3～18mm ，平均5．8mm 。其中61例患者进行了单侧的胆道支架置入术，7名患者进行了双侧胆道支架置入术，共计置入胆道支架75次。在术后复查相关实验室指标，及彩色多普勒超声检查，并与术前的结果进行比较。结果在这68例75次需行经皮肝胆道内支架植入术的梗阻性黄疸患者中，有71次一次性成功地置入了支架，占全部病例的95％；其余4例在第一次操作失败后，再择期进行第二次置入胆道支架，二次成功率为100％。术后所有患者的相关实验室指标均有好转，胆管无明显扩张，彩色多普勒超声可以清晰地观察到置入的胆道金属支架，在其引导下无一例严重并发症发生。结论彩色多普勒超声在经皮肝行胆道内支架置入术中有着非常重要的临床价值。
목적：탐토채색다보륵초성재경피간행담도내지가치입술중적림상응용개치。방법재채색다보륵초성보조하대68례경조성황달적환자진행경피간담도내지가치입술적조작，기중악성경조성황달환자59례，량성경조성황달적환자9례。단측담관확장5례，쌍측담관동시확장63례。확장담관내경3～18mm ，평균5．8mm 。기중61례환자진행료단측적담도지가치입술，7명환자진행료쌍측담도지가치입술，공계치입담도지가75차。재술후복사상관실험실지표，급채색다보륵초성검사，병여술전적결과진행비교。결과재저68례75차수행경피간담도내지가식입술적경조성황달환자중，유71차일차성성공지치입료지가，점전부병례적95％；기여4례재제일차조작실패후，재택기진행제이차치입담도지가，이차성공솔위100％。술후소유환자적상관실험실지표균유호전，담관무명현확장，채색다보륵초성가이청석지관찰도치입적담도금속지가，재기인도하무일례엄중병발증발생。결론채색다보륵초성재경피간행담도내지가치입술중유착비상중요적림상개치。
Objective To evaluate the clinical value of color Doppler ultrasound in percutaneous biliary stenting line . Methods With the aid of color Doppler ultrasound ,intradermal biliary tract stenting operation was conducted in 68 pa‐tients with obstructive jaundice ,in which 59 cases were malignant obstructive jaundice patients and 9 were benign obstruc‐tive jaundice .There were five cases of unilateral have bile duct dilatation and 63 cases of bilateral bile duct dilatation .The inner diameter of the bile ducts was 3 ~ 18 mm ,with an average of 5 .8 mm .Of those patients ,61 were subjected to uni‐lateral biliary stenting ,seven to both biliary stenting ,with a total of 75 times of biliary stent placements .Postoperatively , relevant laboratory parameters and color Doppler sonography were performed and compared with the preoperative results . Results Of those 75 times of biliary stent placements on the 68 patients who required for percutaneous biliary stenting ,71 times were conducted successfully by once ,accounting for 95% ;the first operation on the remaining four cases were failed and then a second elective operation was successfully performed ,with secondary success rate of 100% .Related laboratory indicators had been improved in all patients after surgery ,no significant biliary dilatation was revealed ,and color Doppler ultrasound can clearly observe the biliary metallic stent placement , with no serious complications .Conclusion Color Doppler ultrasound in percutaneous biliary stenting line has a very important clinical value .