Application of percutaneous transhepatic cholangial drainage in eighty cases with obstructive jaundice under ultrasonic guidance

Abstract

Objective To explore the clinical value of ultrasound-guided percutaneous transhepatic cholangial drainage (PTCD) in the treatment of obstructive jaundice. Methods Eighty patients with obstructive jaundice who underwent ultrasound-guided PTCD in our hospital from May 2009 to May 2012 were followed up, and their records such as PTC tube number, the average operation time, postoperative 24h bile drainage and serum total bilirubin level were summarized retrospectively. Results Ninety-five PTC tubes were inserted in eighty patients, and the average indwelling time was 7-185(45±21) d. The mean time of operation was (30±15) min. The drainage of 24hours after operation was (415±214) ml. Serum total bilirubin of patients at time of two weeks after operation, one weeks after operation and pre-operation were (57±36)μmol/L, (116±56)μmol/L, and (354±150) μmol/L, P<0.01. Bile leakage and hemobilia occurred in two patients (2.5%). Conclusion Ultrasound-guided PTCD is a good choice for obstructive jaundice, for it is minimally invasive and safe. Key words: Ultrasound; Percutaneous transhepatic cholangial drainage (PTCD); Obstructive jaundice