超声联合计算机在晚期恶性梗阻性黄疸治疗中的应用

doi:10.7517/issn.1674-0475.210811

摘要/Abstract

摘要： 本文探讨了常规超声、超声造影联合计算机辅助在内镜下逆行胰胆管造影术（ERCP）、经皮经肝穿刺胆道引流术（PTCD）与超声内镜引导下胆道引流术（EUS-BD）治疗晚期恶性梗阻性黄疸中的应用。选取54例晚期恶性梗阻性黄疸患者为研究对象，将其分为ERCP组、PTCD组、EUS-BD组，分析三组患者住院天数、近期并发症和肝脏功能指标等。结果显示：（1）三组患者手术后在治疗晚期恶性梗阻性黄疸效果显著（P<0.01）；（2）与其他两组相比，EUS-BD组并发症和住院天数最少（P<0.05）；（3）病理分析结果显示，ERCP组和EUS-BD组对导管伤害较少。总之，EUS-BD组患者采用常规超声联合计算机辅助技术，与ERCP组超声造影及PTCD组常规超声相比，更具备优势。

关键词: 常规超声, 超声造影, 晚期恶性梗阻性黄疸, 内镜下逆行胰胆管造影, 经皮经肝穿刺胆道引流术, 超声内镜引导下胆道引流术

Abstract: In this paper, the application of conventional ultrasound, contrast-enhanced ultrasound combined with computer-assisted endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic biliary drainage (PTCD) and endoscopic ultrasound-guided biliary drainage (EUS-BD) in the treatment of advanced malignant obstructive jaundice was discussed. A total of 54 patients with advanced malignant obstructive jaundice were selected as the research objects, and they were divided into ERCP group, PTCD group, and EUS-BD group. The days of hospitalization, recent complications and liver function indexes of patients in three groups were analyzed. The results showed:(1) the three groups of patients had a significant effect in the treatment of advanced malignant obstructive jaundice after surgery (P<0.01); (2) Compared with the other two groups, the EUS-BD group had the least complications and hospitalization days (P<0.05); (3)The results of pathological analysis showed that the ERCP group and EUS-BD group had less damage to the catheter. In short, patients in the EUS-BD group used conventional ultrasound combined with computer-assisted technology, which has advantages compared with contrast-enhanced ultrasound in the ERCP group and conventional ultrasound in the PTCD group.

Key words: conventional ultrasound, contrast-enhanced ultrasound, advanced malignant obstructive jaundice, endoscopic retrograde cholangiopancreatography, percutaneous transhepatic biliary drainage, endoscopic ultrasound-guided biliary drainage

韩东亮, 李广, 姚皓, 刘昭明. 超声联合计算机在晚期恶性梗阻性黄疸治疗中的应用[J]. 影像科学与光化学, 2022, 40(1): 59-63.

HAN Dongliang, LI Guang, YAO Hao, LIU Zhaoming. Application of Ultrasound Combined with Computer in the Treatment of Advanced Malignant Obstructive Jaundice[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(1): 59-63.

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