| 左肝管定向穿刺胆管造影术 |
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| 引用本文： | 全卓勇,彭开勤,张应天.左肝管定向穿刺胆管造影术[J].江汉大学学报(社会科学版),2003(2). |
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| 作者姓名： | 全卓勇 彭开勤 张应天 |
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| 作者单位： | 江汉大学附属医院外科 湖北武汉430015
(全卓勇，彭开勤)，江汉大学附属医院外科 湖北武汉430015(张应天) |
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| 摘 要： | 目的 :报告左肝管定向穿刺胆管造影术的方法。方法 :本组 70例行左肝管定向穿刺胆管造影术 (其中 2 2例肝门胆管癌 ) ,6 1例穿刺成功 ,成功率 87.14 % ,手术证实无出血及胆漏并发症。结果 :总成功率98.5 7% ,全组无住院死亡病例。结论 :左肝管定向穿刺胆管造影术可作为PTC的首选方法 ,能有效防止出血和胆漏 ,但不能完全替代传统的右侧径路PTC ,左肝管定向穿刺PTC有助于肝门胆管癌的诊断和分型诊断 ,应作为首选方法。
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| 关 键 词： | 经皮左肝管定向穿刺胆道造影术 定位诊断 肝门胆管癌 |
Performing the Percutaneous Transhepatic Cholangiography (PTC) by Puncturing the Left Hepatic Duct |
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| QUAN Zhuo-young,PENG Kai-qin,ZHANG Ying-tian.Performing the Percutaneous Transhepatic Cholangiography (PTC) by Puncturing the Left Hepatic Duct[J].Journal of JIanghan University:Social Sciences,2003(2). |
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| Authors: | QUAN Zhuo-young PENG Kai-qin ZHANG Ying-tian |
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| Abstract: | Objective: To study the value of the percutaneous transhepatic cholangiography(PTC)by puncturing the left hepatic duct.Methods: 70 cases were treated with PTC by puncturing the left duct (22 cases were the hepatic hilar cholangiocarcinoma),61 cases were successfully punctured (a successful ratio is 87.14%). Results: The complications,such as bleeding and bile leaking,were not found.No death cases had occurred in this study.Conclusion: The percutaneous transhepatic cholangiography performed by puncturing the left hepatic duct should be choiced primarily because there is not bleeding and bile leaking complications, but it cannot completely replace traditional PTC. This method should be recommended as the first choice method for the diagnosis and Bismuth type of hepatic hilar cholangiocarcinoma. |
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| Keywords: | percutaneous transhepatic cholangiography typical diagnosis hepatic hilar cholangiocarcinoma |
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