中国民康医学
中國民康醫學
중국민강의학
Medical Journal of Chinese People's Health
2015年
19期
11-12
,共2页
刘建%刘瑞雪%隋阳%钱伟
劉建%劉瑞雪%隋暘%錢偉
류건%류서설%수양%전위
经皮经肝胆道置管引流%单腔静脉导管%超声引导
經皮經肝膽道置管引流%單腔靜脈導管%超聲引導
경피경간담도치관인류%단강정맥도관%초성인도
Percutaneous transhepatic cholangial drainage%Single lumen catheter%Ultrasound guide
目的:评价超声引导下采用单腔静脉导管经皮经肝胆道置管引流术( UPTCD)的临床应用价值. 方法:对38例无法手术且有阻塞性黄疸的晚期癌症患者行UPTCD,其中肝癌17例,胰头癌10例,胆管癌7例,胆囊癌2例,胃癌肝转移2例. 结果:采用单腔静脉导管行UPTCD一次置管成功率92. 1%,二次置管成功率100%,全部病例引流通畅. 结论:采用单腔静脉导管行UPTCD方法简单,穿刺安全准确,费用较低且患者易接受,对于解决癌症晚期导致的阻塞性黄疸具有重要临床价值.
目的:評價超聲引導下採用單腔靜脈導管經皮經肝膽道置管引流術( UPTCD)的臨床應用價值. 方法:對38例無法手術且有阻塞性黃疸的晚期癌癥患者行UPTCD,其中肝癌17例,胰頭癌10例,膽管癌7例,膽囊癌2例,胃癌肝轉移2例. 結果:採用單腔靜脈導管行UPTCD一次置管成功率92. 1%,二次置管成功率100%,全部病例引流通暢. 結論:採用單腔靜脈導管行UPTCD方法簡單,穿刺安全準確,費用較低且患者易接受,對于解決癌癥晚期導緻的阻塞性黃疸具有重要臨床價值.
목적:평개초성인도하채용단강정맥도관경피경간담도치관인류술( UPTCD)적림상응용개치. 방법:대38례무법수술차유조새성황달적만기암증환자행UPTCD,기중간암17례,이두암10례,담관암7례,담낭암2례,위암간전이2례. 결과:채용단강정맥도관행UPTCD일차치관성공솔92. 1%,이차치관성공솔100%,전부병례인류통창. 결론:채용단강정맥도관행UPTCD방법간단,천자안전준학,비용교저차환자역접수,대우해결암증만기도치적조새성황달구유중요림상개치.
Objective:To evaluate clinical application value of ultrasound-guided percutaneous transhepatic cholangial ( UP-TCD) using single lumen catheter. Methods:UPTCD was operated in 38 patients with unresectable advanced carcinoma and obstruc-tive jaundice, wherein 17 cases of haptic carcinoma, 10 cases of pancreas head carcinoma, 7 cases of bile duct carcinoma, 2 cases of gallbladder carcinoma, and 2 cases of gastric cancer with liver metastasis. Results:During UPTCD, the successful rates of one-time catheterization and two-time catheterization were 92. 1% and 100%, respectively. All cases were unobstructedly drained. Conclu-sions:The method of UPTCD using single lumen catheter is simple, safe, accurate, low cost and easy to accept by patients. It has great values in solving the patients with obstructive jaundice from advanced carcinoma.