骑跨式外引流术在高位恶性梗阻性黄疸中的临床应用
黄兆栋;李明军;李俊;戚春厚;宗焕波;高洪飞;李善凯
【期刊名称】《实用放射学杂志》 【年(卷),期】2014(000)008
【摘要】目的：探讨高位恶性梗阻性黄疸患者的胆汁引流方法。方法13例高位梗阻性黄疸患者经 B 超、CT、MRCP 证实,均采用 C 型臂下经皮穿刺右肝管,然后应用 COOK 公司产胆汁内外引流管行左右肝管外引流术。结果13例患者中,胰头癌1例、肝门区转移瘤1例、胆管癌11例。全部成功将内外引流管骑跨于左右肝管内,外引流成功。随访1~15月,2例患者因恶病质消耗1月、4月后死亡,其余患者黄疸减轻,食欲改善。结论骑跨式外引流术是高位完全性梗阻性黄疸患者的有效引流手段。%Objective To explore the bile drainage method in patients with high malignant obstructive jaundice.Methods 13 pa-tients with high obstructive jaundice were confirmed by type-B ultrasonography,CT and MR cholangiopancreatography (MRCP). Under C arm X-ray machine,we performed percutaneous puncture of the right hepatic duct and external drainage of the left and right hepatic ducts by the internal and external bile drainage tube (COOK Company).Results All of 13 patients,1 was carcinoma of head of pancreas,1 was metastatic tumor
in
hepatic
hilar
region,and
1
1
cases
were
cholangiocarcinomas.They were successfully per-formed external biliary drainage riding across the left and right hepatic ducts.The patients were followed up at 1-1 5 months.2 pa-tients died with cachexia after 1 and 4
骑跨式外引流术在高位恶性梗阻性黄疸中的临床应用
