경피경간 담배액술의 방사선학적 고찰

Abstract

Percutaneous transhepatic biliary drainage(PTBD) was performed 40 times in 38 patients with obstructive jaundice, from January, 1986 to May at Department of Radiology, Keimyung University School of Medicine. The PTBD is to decrease serum bilirubin level, promote liver function, effectively decompress the severely obstructed biliary tree prior to surgery and palliates the clinical problems in patient with non-operable malignant obstruction and control sepsis effectively. The results were as follow: The cause of obstructive jaundice included 35 malignant diseases and 3 benign diseases. Malignant disease were 23 cases of bile duct carcinoma, 5 cases of hepatoma, 5 cases of pancreas carcinoma and 2 cases of metastasis. The most common level of obstruction was distal common bile duct in 13 cases. The most common indication of PTBD was palliative drainage of obstruction secondary to malignant tumor in 26 cases. The drainage type was internal i 12 cases and external in 24 cases. The most common complication was high fever in 7 cases. The successful drainage with effective decrease in the level of serum bilirubin was observed in 30 cases, ineffective drainage in 4 cases.