RESUMO
Objective To investigate the clinical effect of percutaneous transhepatic bile duct drainage guided by ultrasound.Methods From June 2016 to June 2018,100 patients with obstructive jaundice in Lishui Central Hospital were treated with ultrasound -guided percutaneous transhepatic bile duct drainage.The success rate and postoperative complications of the patients were analyzed.Results Among 100 cases,98 cases were successful , 2 cases failed,and the failure rate was 2%.The success rate of one -time catheterization in 0.5-2.0 cm patients with intrahepatic bile duct diameter (98.91%) was significantly higher than that in intrahepatic bile duct diameter 0.3-0.4 cm patients(87.50%),compared with two different diameter puncture catheterization ,the difference was statistically significant ( χ2 ＝12.369, P ＜0.05 ).All 98 cases with successful puncture were followed up after operation (P＜0.05),and there was no statistically significant difference between the two groups ( P＜0.05).The drainage tube was removed in 2 cases,bile duct infection was found in 2 cases,the remaining patients were unobstructed, and there were no obvious complications.Conclusion Ultrasound-guided percutaneous transhepatic catheterization and drainage for the treatment of obstructive jaundice caused by malignant tumor is simple ,reliable,safe and effective, and has a certain clinical value.It is worthy of popularizing and application.
RESUMO
Objective@#To investigate the clinical effect of percutaneous transhepatic bile duct drainage guided by ultrasound.@*Methods@#From June 2016 to June 2018, 100 patients with obstructive jaundice in Lishui Central Hospital were treated with ultrasound-guided percutaneous transhepatic bile duct drainage.The success rate and postoperative complications of the patients were analyzed.@*Results@#Among 100 cases, 98 cases were successful, 2 cases failed, and the failure rate was 2%.The success rate of one-time catheterization in 0.5-2.0 cm patients with intrahepatic bile duct diameter(98.91%) was significantly higher than that in intrahepatic bile duct diameter 0.3-0.4 cm patients(87.50%), compared with two different diameter puncture catheterization, the difference was statistically significant(χ2=12.369, P<0.05). All 98 cases with successful puncture were followed up after operation (P<0.05), and there was no statistically significant difference between the two groups(P<0.05). The drainage tube was removed in 2 cases, bile duct infection was found in 2 cases, the remaining patients were unobstructed, and there were no obvious complications.@*Conclusion@#Ultrasound-guided percutaneous transhepatic catheterization and drainage for the treatment of obstructive jaundice caused by malignant tumor is simple, reliable, safe and effective, and has a certain clinical value.It is worthy of popularizing and application.