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经皮经肝胆道引流术的适应证及结果

[Indications and results of percutaneous transhepatic bile-duct drainage].

作者信息

Rupp N

出版信息

Chirurg. 1979 Apr;50(4):233-8.

PMID:87298
Abstract

Percutaneous transhepatic drainage of the bile duct (PTCD) is a method that has few complications and can successfully relieve an obstructive jaundice. As a palliative drainage in malignancies of the liver and the porta of the liver it reduces the jaundice and prevents the accompanying troublesome pruritus, thus prolonging life. It reduces postoperative lethality and complications by reducing the jaundice preoperatively. Suppurative cholangitis with bile duct obstruction is quickly relieved by administration of antibiotics into the drainage.

摘要

经皮肝穿刺胆管引流术(PTCD)是一种并发症较少且能成功缓解梗阻性黄疸的方法。作为肝脏及肝门部恶性肿瘤的姑息性引流,它可减轻黄疸并防止随之而来的令人困扰的瘙痒,从而延长生命。它通过术前减轻黄疸来降低术后死亡率和并发症。通过向引流管内注入抗生素,可迅速缓解伴有胆管梗阻的化脓性胆管炎。

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