[1]郑 琳,郭晨阳,黎海亮,等.C臂CT在经皮经肝胆道引流术治疗梗阻性黄疸中的应用[J].介入放射学杂志,2013,(12):1007-1010.
 ZHENG Lin,GUO Chen? yang,LI Hai? liang,et al. The application of C?蛳 arm CT in performing PTCD for obstructive jaundice[J].journal interventional radiology,2013,(12):1007-1010.
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C臂CT在经皮经肝胆道引流术治疗梗阻性黄疸中的应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年12期
页码:
1007-1010
栏目:
非血管介入
出版日期:
2013-12-25

文章信息/Info

Title:
 The application of C?蛳 arm CT in performing PTCD for obstructive jaundice
作者:
 郑 琳 郭晨阳 黎海亮 余 朴 李亚楠
Author(s):
ZHENG Lin GUO Chen?蛳 yang LI Hai?蛳 liang YU Pu LI Ya?蛳 nan.
Department of Interventional Radiology, Henan Provincial Cancer Hospital, the Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Henan Province 450008, China 
关键词:
 【关键词】 梗阻性黄疸 C臂CT 穿刺 经皮经肝胆道置管引流 介入性
文献标志码:
A
摘要:
 【摘要】 目的 探讨C臂CT在经皮经肝胆道引流术(PTCD)治疗梗阻性黄疸中的应用。方法 回顾性分析82例梗阻性黄疸患者,A组43例在C臂CT引导下PTCD治疗,B组39例在X线透视引导下PTCD治疗。研究终点是穿刺成功(自穿刺开始至安全地将导丝置入合适的胆管内)。观察指标是穿刺次数、穿刺透视时间、总穿刺时间、辐射暴露剂量及并发症(胆道出血、胆汁性腹膜炎)的发生率。结果 A组平均每例穿刺(1.1 ± 0.3)次,显著少于B组的(2.8 ± 0.6)次。A组穿刺透视时间为(13.1 ± 2.7)s,穿刺时间为(46.9 ± 9.7)s,均显著短于B组(33.7 ± 6.2)s及(90.7 ± 17.2)s。A组辐射暴露剂量(2.61 ± 0.53)mGy也低于B组(6.75 ± 1.23)mGy。B组有6例出现胆道出血。结论 在PTCD治疗中,由C臂CT引导穿刺胆管较常规透视引导所需穿刺次数及时间更少。 

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