資源描述:
《經皮經肝穿刺膽管超聲造影的臨床應用分析》由會員上傳分享,免費在線閱讀,更多相關內容在行業(yè)資料-天天文庫。
1、drainagetubeslowly.Theirbiliarytracts,obstructivelevelandcauseofobstructive,duodenumandcholecystswerescannedundercontrastpulsedsequencingmodetoachieverelatedcontrast—enhancedultrasonograms.Theentireexaminationwasrecordedondigitalvideoclips.Afterpostoperativ
2、e2-12h,thepercutaneoustranshepaticcholangiography(PTC)werecarriedoutineachpatient.Severityandaccuracyofbiliaryobstructionwereassessedaccor-dingtothePTCUSfindingswithacomparisontoconventionalPTC.Andinapartofthepatientswerecomparedwiththree—dimensionalreconst
3、ructionCTofthebileductsaftertherapy.Result(1)Thereweresomedifferenceinthejudgementon30casesblockofportaandextra—hepaticbileductsbetweendiagnosisofPTCUSandPTC:AccordingtoPTCUS,therewere13casesofcompleteobstructionand17casesofincompleteobstruction;Whileaccord
4、ingtoPTC,therewere1casesofcompleteobstructionand19casesofincompleteobstruction.Buttherewerenostatisticsdifferenceinthejudgementofblocklevel(Chi—squarevalue=0.5,0.50>P>0.25).(2)PTCUShasalowerdisplayrateinintestinaltractandgallbladderthanPTC.Thedifferencehass
5、tatisticsvalue(Chi—squarevalueisO.5,7.11respect—ively,P<0.50).(3)Therewere7caseswhosebileductsobstructionswerecausedbytumorabovehilar.Becausetumorinliverhadoccupancypathologicalchangessoakageandpressedthebileductsaroundtocholestasisandcholangiectasis.Thenor
6、malshapesofbileductsweredestroyed.Inthissituation,theSonoVuecontrastagentpouredthroughpunctureneedlefixthenarrowpositionandlevelofbileduct.Thenaccordingtotheknowledgeofwater—spreadingrange,makefurtherplanofplacingtube;ComparedthedisplayofPTCUStowater·spread
7、ingrangeinoperationwithPTCafteroperation,theresultweresame.(4)ThemaximumvisualizationofbranchingordersinPTCUSwas3.54-O.8,whichwasequaltotheresultofPTC(3.74-0.9),(t=0.697,P>O.25).(5)AfterthePTCUS,theleveloftotalbilirubin(TBIL)decreasedobvio-usly(t=4.437,P<0.
8、0005).NoadversereactionstOSonoVueoccurredinthepati-entsduringtheoperationandfollow-up.二5COncIusionsPTCDwasaconcise、safeandfeasiblemethodofbiliarytractradiography,anddynamicdisplaytheflowofcontrastagent