临床研究(Clinical Research)

超声引导经皮肝穿刺置管对口引流治疗胆管空肠Roux-en-Y吻合术后肝脓肿

Published at: 2015年第24卷第8期

张辉 1 , 陈光宇 1 , 陈琪 1 , 汪涛 1
1 四川省成都军区总医院 普通外科微创中心,四川 成都 610083
通讯作者 涛 汪 Email: watopo@163.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.08.019
基金:
全军临床高新技术重大基金资助项目 2010gxjs040
四川省青年科技创新研究团队资助项目 2011JTD0010

摘要

目的:探讨超声引导经皮肝穿刺置管对口引流治疗胆管空肠Roux-en-Y 吻合术后肝脓肿的临床效果。方法:回顾性分析2012 年1 月—2014 年1 月接受超声引导经皮肝穿刺置管对口引流治疗胆管空肠Roux-en-Y 吻合术后肝脓肿的20 例患者的临床资料。结果:20 例患者均穿刺置管成功,置管后24~48 h 疼痛症状缓解,48~72 h 体温恢复正常,疼痛、寒战症状消失,72~96 h 白细胞恢复到正常范围,且在持续引流过程中引流管未见堵管及引流不畅现象。带管时间为11 d 至1 个月,平均时间为14 d。20 例患者均未出现出血、周围脏器损伤等严重并发症。结论:超声引导经皮肝穿刺置管对口引流是治疗胆管空肠Roux-en-Y 吻合术后肝脓肿可靠、有效的方法。


Ultrasound-guided percutaneous transhepatic catheterization and bidirectional drainage for liver abscess after Roux-en-Y hepaticojejunostomy

Abstract

Objective: To evaluate the clinical efficacy of ultrasound-guided percutaneous transhepatic catheterization and bidirectional drainage for liver abscess after Roux-en-Y hepaticojejunostomy. Methods: The clinical data of 20 patients with liver abscess after Roux-en-Y hepaticojejunostomy undergoing ultrasound-guided percutaneous transhepatic catheterization and bidirectional drainage from January 2012 to January 2014 were retrospectively analyzed. Results: In all 20 patients, catheterization was successfully performed, the symptoms of pain were alleviated 24– 48 h after catheterization, body temperature returned to normal, and the symptoms of pain and chills disappeared 48–72 h after catheterization; white blood cell levels returned to normal range 72–96 h after catheterization, and no tube blockage or partial blockage occurred during the continuous drainage. The tube retention time ranged from 11 d to one month, with an average of 14 d. No serious complications such as hemorrhage or surrounding organ injuries were noted in any of the 20 patients. Conclusion: Interventional ultrasound-guided percutaneous transhepatic catheterization and bidirectional drainage is a reliable and effective management for liver abscess after Roux-en-Y hepaticojejunostomy.


comments powered by Disqus

全文

引用

引用本文: 辉 张, 光宇 陈, 琪 陈, 涛 汪. 超声引导经皮肝穿刺置管对口引流治疗胆管空肠Roux-en-Y吻合术后肝脓肿[J]. 中国普通外科杂志, 2015, 24(8): 1150-1154.
Cite this article as: ZHANG Hui, CHEN Guangyu, CHEN Qi, WANG Tao . Ultrasound-guided percutaneous transhepatic catheterization and bidirectional drainage for liver abscess after Roux-en-Y hepaticojejunostomy[J]. Chin J Gen Surg, 2015, 24(8): 1150-1154.