姑息性经皮肝穿刺引流术治疗不可手术切除的梗阻性黄疸
Palliative percutaneous transhepatic drainage for inoperable obstructive jaundice.
作者信息
Baxter-Smith D C, Temple J G, Howarth F
出版信息
Ann R Coll Surg Engl. 1982 Nov;64(6):394-6.
Abstract
A technique of percutaneous transhepatic drainage under local anaesthesia is described for the relief of intractable pruritus in patients with obstructive jaundice due to inoperable carcinoma. After standard percutaneous transhepatic cholangiography a polyethylene catheter is introduced into one of the large dilated bile ducts and left in situ, thereby establishing external retrograde biliary drainage. The technique has been used successfully in 6 cases with reduction in serum bilirubin levels and relief of pruritus.
摘要
本文描述了一种在局部麻醉下经皮经肝引流的技术，用于缓解因无法手术切除的癌肿导致的梗阻性黄疸患者的顽固性瘙痒。在标准的经皮经肝胆道造影术后，将一根聚乙烯导管插入一根大的扩张胆管中并留置原位，从而建立外部逆行胆道引流。该技术已成功应用于6例患者，血清胆红素水平降低，瘙痒症状缓解。
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