Clinical Application and Analysis of Ultrasound- Guided PTCD in the Treatment of Malignant
Obstructive Jaundice

Abstract

Abstract:

Objective: To explore the clinical significance of ultrasound- guided percutaneous transhepatic cholangiography and
drainage（PTCD）in the treatment of malignant obstructive jaundice.Methods: The success rate and complications of 51 patients with obstructive jaundice（24 cases of cholangiocarcinoma, 22 cases of pancreatic cancer, 4 cases of ampullary carcinoma, 1 case of postoperative biliary stricture）were examined.Results: Forty-seven cases were successfully operated（47/51, success rate 92.15%）, 40 cases of intrahepatic bile duct catheter were from left hepatic lobe, 4 cases were from right lobe and 3 cases of intrahepatic bile duct catheter were in left or right hepatic lobe. There were 4 cases failed due to the small inner diameter of intrahepatic bile ducts. In followed up for 1 week to 12 months, 1 case were biliary infection, 1 case died in 3 month, the remaining cases were found unobstructed drainage and no obvious complications.Conclusion: Color Doppler ultrasound-guided PTCD was simple, safe and effective in the treatment of malignant obstructive jaundice.

Key words: ultrasound, CDFI, PTCD

CLC Number:

R657.4+3

ZHANG Guo-Hui, CHENG Yan, LI Juan, CHEN Ling, YUE Dong-Mei, WU Yu-Ping. Clinical Application and Analysis of Ultrasound- Guided PTCD in the Treatment of Malignant
Obstructive Jaundice[J]. J4, 2014, 13(2): 52-54.

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