超声引导下PTCD治疗肝门部胆管癌的临床疗效观察

doi:10.3969/j.issn.1671-7171.2020.11.008

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Abstract 【Objective】To summarize the experience of PTCD treatment for hilar cholangiocarcinoma in Xuanwu Hospital of Capital Medical University in recent 5 years. 【Methods】 The clinical data of 86 patients with hilar cholangiocarcinoma treated with ultrasound-guided PTCD in Xuanwu Hospital of Capital Medical University from January 2015 to October 2019 were retrospectively analyzed. The operation related conditions and postoperative complications were recorded. The liver function indexes including alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), glutamyltransferase (GGT), total bilirubin (TBIL) and direct bilirubin (DBIL) were compared before and 2 weeks after operation.【Results】In this study, 86 patients underwent 108 times of puncture, including 76 cases of left lobe bile duct and 32 cases of right lobe bile duct,there were 22 cases of left and right bile ducts punctured at the same time. The first puncture success rate was 77.78% (84/108), the total technical success rate was 90.74% (98/108), and the clinical success rate was 86.05% (74/86). Postoperative bile duct bleeding occurred in 12 cases (13.95%), biliary tract infection and peritonitis in 32 cases (37.21%), and drainage tube shedding in 6 cases (6.98%). After operation, 22 patients with jaundice were treated with radical or palliative resection. 64 patients who could not be resected were discharged with catheter. The serum levels of alt, GGT, ALP, TBIL and DBIL were significantly lower than those before operation (P<0.05).【Conclusion】 Ultrasound guided PTCD is an important treatment for patients with hilar cholangiocarcinoma. Simple biliary drainage can improve the liver function, reduce jaundice and improve the quality of life of patients,which has the promotion significance in the basic level hospital.

Key words： Bile Duct Neoplasms/SU Bile Ducts, Intrahepatic Ultrasonography Drainage Punctures

Received: 16 March 2020

PACS:

R735.8

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	JIANG Hua
	WANG Xuan-jun
	WANG Yue-hua
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Cite this article:

JIANG Hua,WANG Xuan-jun,WANG Yue-hua, et al. Clinical Efficacy of Ultrasound-guided PTCD in the Treatment of Hilar Cholangiocarcinoma[J]. JOURNAL OF CLINICAL RESEARCH, 2020, 37(11): 1625-1627.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2020.11.008 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2020/V37/I11/1625

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