中华生物医学工程杂志
中華生物醫學工程雜誌
중화생물의학공정잡지
CHINESE JOURNAL OF BIOMEDICAL ENGINEERING
2015年
1期
81-83
,共3页
何炼图%汤庆%陈绮璐%廖海星%周大治%周兴华%王平%刘衍民
何煉圖%湯慶%陳綺璐%廖海星%週大治%週興華%王平%劉衍民
하련도%탕경%진기로%료해성%주대치%주흥화%왕평%류연민
超声检查,多普勒,彩色%胆管,肝内%外科手术,微创性%肝经皮肝胆道镜
超聲檢查,多普勒,綵色%膽管,肝內%外科手術,微創性%肝經皮肝膽道鏡
초성검사,다보륵,채색%담관,간내%외과수술,미창성%간경피간담도경
Ultrasonography,Doppler,color%Bile ducts,intrahepatic%Surgical procedures,minimally invasive%Percutaneous transhepatic cholangioscopy
目的:探讨超声引导经皮肝胆道镜(PTCS)治疗肝胆管结石的应用价值。方法超声引导下PTCS治疗的95例肝内胆管结石患者,分析超声引导下选择穿刺部位、方向,建立PTCS入路途径、引流窦道的时间,结石取净率,手术并发症等。结果上述病例均经彩超引导穿刺建立PTCS入路途径并置入鞘管、形成瘘道,引流窦道建立时间15~50 min,平均35 min;结石取净率85.0%~88.9%;胆道出血并发症11.6%(11/95)。结论彩超引导结合超声造影能很好辩别胆管与血管,能便捷、准确、较为安全地建立PTCS微创治疗肝胆管结石入路途径、形成引流窦道。
目的:探討超聲引導經皮肝膽道鏡(PTCS)治療肝膽管結石的應用價值。方法超聲引導下PTCS治療的95例肝內膽管結石患者,分析超聲引導下選擇穿刺部位、方嚮,建立PTCS入路途徑、引流竇道的時間,結石取淨率,手術併髮癥等。結果上述病例均經綵超引導穿刺建立PTCS入路途徑併置入鞘管、形成瘺道,引流竇道建立時間15~50 min,平均35 min;結石取淨率85.0%~88.9%;膽道齣血併髮癥11.6%(11/95)。結論綵超引導結閤超聲造影能很好辯彆膽管與血管,能便捷、準確、較為安全地建立PTCS微創治療肝膽管結石入路途徑、形成引流竇道。
목적:탐토초성인도경피간담도경(PTCS)치료간담관결석적응용개치。방법초성인도하PTCS치료적95례간내담관결석환자,분석초성인도하선택천자부위、방향,건립PTCS입로도경、인류두도적시간,결석취정솔,수술병발증등。결과상술병례균경채초인도천자건립PTCS입로도경병치입초관、형성루도,인류두도건립시간15~50 min,평균35 min;결석취정솔85.0%~88.9%;담도출혈병발증11.6%(11/95)。결론채초인도결합초성조영능흔호변별담관여혈관,능편첩、준학、교위안전지건립PTCS미창치료간담관결석입로도경、형성인류두도。
Objective To investigate the value of ultrasonic guidance for percutaneous transhepatic cholangioscopy(PTCS)in treatment of hepatolithiasis. Methods Ninety?five patients with hepatolithiasis received PTCS treatment under ultrasonic guidance were included in the study. The clinical data,including puncture sites and directions under ultrasonic guidance,time of PTCS pathway establishment and sinus drainage, stone clearance rate and surgical complications, were analyzed. Results Color Doppler ultrasound?guided puncture was performed in all patients,and the PTCS pathway was established. Then,the sinus tract was formed with sheath canal placement. The time of establishing sinus drainage was 15~50 min, with a mean time of 35 min. The stone clearance rate was 85.0%~88.9%,and the incidence of biliary tract hemorrhage as a complication was 11.6%(11/95). Conclusion Color Doppler ultrasonic guidance with ultrasound contrast enhancement can satisfactorily discriminate between bile ducts and blood vessels,and therefore can be used as a convenient,accurate and safe approach to establish the minimally invasive PTCS pathway and sinus tract drainage in treatment of hepatolithiasis.