Gazzaniga G M, Faggioni A, Bondanza G, Bagarolo C, Filauro M
1st Dept. General Surgery, San Martino Hospital Genoa, Italy.
Hepatogastroenterology. 1990 Oct;37(5):517-23.
Experience with a total of 362 percutaneous transhepatic biliary drainage (PTBD) carried out between January 1977 and December 1988, is described. Of these, 350 drains were correctly placed and 285 (81.5%) showed a good result, 53 (15.1%) a fair result and 12 (3.4%) a poor outcome. In 12 of the total number of cases (3.4%) it was not possible to position the drain effectively. The mortality rate of the method was 0.8% (3 cases). Complications were as follows: obstruction 7 (1.9%), dislodgement 15 (4.1%), hemobilia 15 (4.1%), hemoperitoneum 1 (0.2%), cholangitis 6 (1.6%), choleperitoneum 10 (2.7%). In view of the good results and low incidence of complications it is concluded that in skilled hands PTBD is a very useful method that should be available at any center specializing in hepatobiliary surgery.
本文描述了1977年1月至1988年12月期间共362例经皮肝穿刺胆道引流术（PTBD）的经验。其中，350根引流管放置正确，285例（81.5%）效果良好，53例（15.1%）效果尚可，12例（3.4%）效果不佳。在所有病例中有12例（3.4%）无法有效放置引流管。该方法的死亡率为0.8%（3例）。并发症如下：梗阻7例（1.9%），移位15例（4.1%），胆道出血15例（4.1%），腹腔积血1例（0.2%），胆管炎6例（1.6%），胆汁性腹膜炎10例（2.7%）。鉴于良好的效果和较低的并发症发生率，得出结论：在技术熟练的医生手中，PTBD是一种非常有用的方法，任何肝胆外科专业中心都应具备该技术。
