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.

[1]	Xu Jiashun, Wang Wenlei, Li Xiaodong, Yang Yanshu, Yang Zibin. Clinical Efficacy of Ultrasound-Guided Hydrodissection Combined with Acupotomy Release in the Treatment of Carpal Tunnel Syndrome#br# [J]. Journal of Dali University, 2024, 9(4): 59-63.
[2]	Wei Wei, Xu Jingya, Feng Huijun, Zhang Xia, Wu Jing, Zhang Wei, Jiang Feng. Correlation Analysis of Ultrasound Features in T1-Stage Breast Cancer with the Expression of ER, PR, HER-2, and Ki-67 [J]. Journal of Dali University, 2024, 9(2): 55-62.
[3]	Zhang Guohui, Cheng Yan, Liang Qiuyue, Yuan Shengxing, Xiao Benlong, Gao Qiuxia, Ding Yunchuan. Clinical Application of Percutaneous Puncture Biopsy of Peripheral Lung Lesions Guided by Contrast-Enhanced Ultrasound [J]. Journal of Dali University, 2023, 8(4): 73-77.
[4]	Bao Lingyun, Yin Lijuan. The Clinical Value of Bedside Pulmonary Ultrasound in the Diagnosis and Treatment of Critical Neonatal Pneumothorax [J]. Journal of Dali University, 2023, 8(10): 64-67.
[5]	Xu Jiashun, Li Xiaodong, Wang Wenlei. Ultrasonic Anatomy of Brachial Plexus and its Advantages of Ultrasound-Guided Block [J]. Journal of Dali University, 2021, 6(2): 76-77.
[6]	Tan Zhifeng, Chen Haiyan, Wang Jing, Zhu Danqing, Liu Qingqing. Differential Diagnosis of Benign and Malignant Breast Masses by Conventional Ultrasound#br# Integral Method [J]. Journal of Dali University, 2021, 6(2): 78-81.
[7]	Zhang Guohui, Jin Yanling, Chen Kunqian, Li Fawang, Xie Kui, Chen Rong. Clinical Application of Balloon Occlusion of Bilateral Common Iliac Artery in Patients with Pernicious Placenta Previa under Ultrasound Guidance [J]. Journal of Dali University, 2021, 6(10): 56-.
[8]	Zhang Yanru,Bai Xue,Cao Bo,Lin Yawen,Zhang Haizhu. Study on the Optimum Extraction Technology of Salvia yunnanensis Based on the Function of Promoting Blood Circulation [J]. Journal of Dali University, 2020, 5(8): 16-20.
[9]	Dai Qingli. Application of Pelvic Floor Ultrasound in Evaluating Effect in Early Postpartum Rehabilitation Therapy [J]. Journal of Dali University, 2020, 5(8): 58-61.
[10]	Xu Jiashun, Li Xiaodong, Yang Hua, Wang Wenlei. Clinical Research of High-Frequency Ultrasound in Accurate Localization of ＜1 cm Breast Cancer and Precancerous Lesion [J]. Journal of Dali University, 2020, 5(8): 62-64.
[11]	Li Xin, Wang Jing, Chen Haiyan, Liu Fang, Liu Qingqing. Diagnostic Value of Ultrasound-Guided Fine Needle Aspiration Biopsy for TI-RADS 4-5 Nodules [J]. Journal of Dali University, 2020, 5(4): 65-.
[12]	Liu Nana，Li Xin，Zhan Jianghua. Advances in Ultrasound Diagnosis of Biliary Atresia [J]. Journal of Dali University, 2020, 5(2): 17-22.
[13]	YAN Ru-Yi, YUAN Cheng-Xin, YAN Feng, WANG Wei, BAO Qing-Mei, ZHANG Guo-Hui. Clinical Application of Color Doppler Ultrasound-Guided Mammotome for Benign Breast Tumors [J]. , 2019, 4(8): 67-69.
[14]	WANG Ye, YUAN Yun, GONG Ru-Jie. Clinical Values of Trans-Vaginal Ultrasound in the Diagnosis of Early Ectopic Pregnancy [J]. , 2019, 4(8): 70-72.
[15]	Yan Na, Liu Biaohu, Xu Yingying, Zhu Xiangming. Diagnostic Value of High-frequency Superficial Color Doppler Ultrasound in Nodular Goiter [J]. Journal of Dali University, 2019, 4(2): 76-.