Therapeutic effect of percutaneous transhepatic biliary drainage combined with ultrasound-based navigation technique(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2020年第1期
- Page:
- 54-58
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Therapeutic effect of percutaneous transhepatic biliary drainage combined with ultrasound-based navigation technique
- Author(s):
- HUANG Yibin1; DUAN Xuejun1; HU Pingxiang1; WU Jian2; ZHU Yufeng1
- 1. Department of Ultrasound, Shenzhen Chinese Traditional Medical Hospital, Shenzhen 518033, China; 2. Institute of Biomedical Engineering, Shenzhen International Graduate School, Tsinghua University, Shenzhen 518055, China
- Keywords:
- Keywords: malignant obstructive jaundice; percutaneous transhepatic biliary drainage; ultrasound; volume of biliary drainage; liver function
- PACS:
- R657.4；R319
- DOI:
- DOI:10.3969/j.issn.1005-202X.2020.01.011
- Abstract:
- Abstract: Objective To study the therapeutic effect of percutaneous transhepatic biliary drainage assisted by ultrasound-based navigation technique. Methods Sixty patients with malignant obstructive jaundice were divided into two groups, with 30 patients in each group. The patients in both groups were treated with percutaneous transhepatic biliary drainage. The treatment in control group was guided by X-ray, and that in observation group were assisted by ultrasound-based navigation technique. The success rate of puncture, puncture time, puncture times, vital signs, pain score, comfort score, incidence of complications, volume of biliary drainage and liver function indexes were compared between two groups. Results (1) The success rates of the first-puncture and the first second-puncture in observation group were higher than those in control group (P<0.05). (2) Compared with those in control group, the time required for single puncture and the total puncture in observation group were shorter (P<0.05), and the puncture times in observation group had lessened (P<0.05). (3) The vital signs such as heart rate and blood pressure in control group were significantly changed before and after puncture (P<0.05), but there was no significant change in the vital signs in observation group before and after puncture (P>0.05). (4) Compared with control group, observation group had lower pain score (P<0.05) and higher comfort score (P<0.05). (5) The overall incidence of complications in observation group was lower than that in control group (0% vs 13.33%, P<0.05). (6) No significant difference was found in the volume of biliary drainage between observation group and control group on the 1st, 2nd and 3rd day after operation (P>0.05). (7) The liver function indexes such as AST, ALT, TBIL in the two groups were decreased after operation (P<0.05). Conclusion Percutaneous transhepatic biliary drainage combined with ultrasound-based navigation technique can not only fully drain bile in patients with malignant obstructive jaundice, but also improve liver functions, increase the success rate of puncture, reduce puncture time and puncture times, relieve puncture pain, and reduce the incidence of complications.
Last Update: 2020-01-14