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经皮经肝胆道引流术。并发症及其治疗

[Percutaneous transhepatic biliary drainage. Complications and their treatment].

作者信息

Cozzi G, Ostinelli C, Bellomi M, Morosi C, Pestalozza A, Severini A

机构信息

Sezione di Radiologia Gastroenterologica, Istituto Nazionale Tumori, Milano.

出版信息

Radiol Med. 1989 Apr;77(4):399-404.

PMID:2471232
Abstract

In the present series of 296 PTBDs in 281 patients, 103 complications of different degree developed (34.7%). Early complications directly connected to the procedure (32/296 = 10.8%) and late complications generally due to malfunctioning of the catheter or progression of the disease (71/296 = 23.9%) are analyzed. Caveats to prevent complications, therapeutic procedures to resolve them, as well as obtained results are reported. On the whole, major complications directly related to the procedure are present in a small percentage and the procedure appears well tolerated also in patients with poor general conditions.

摘要

在本系列针对281例患者的296次经皮经肝胆道引流术(PTBD)中,出现了103例不同程度的并发症(34.7%)。分析了与操作直接相关的早期并发症(296例中的32例,占10.8%)以及通常由导管功能故障或疾病进展导致的晚期并发症(296例中的71例,占23.9%)。报告了预防并发症的注意事项、解决并发症的治疗方法以及取得的结果。总体而言,与操作直接相关的主要并发症比例较小,该操作在一般状况较差的患者中似乎也具有良好的耐受性。

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