Effect of Ultrasound-guided Percutaneous Transhepatic Biliary Drainage on Obstructive Jaundice
WU Guanghua
LIAO Chunxu
LI Xuwei
LIN Zhigao
Abstract：Objective:To explore the effect of ultrasound-guided percutaneous transhepatic biliary drainage (PTCD) on obstructive jaundice.Method:A total of 92 patients with obstructive jaundice admitted to the Sanming First Hospital from January 2020 to December 2023 were retrospectively selected as the study objects.They were divided into control group (n=46) and study group (n=46) according to different surgical methods.The control group underwent anatomic left hemihepatectomy,and the study group underwent ultrasound-guided PTCD.Perioperative indexes,preoperative and postoperative bilirubin indexes,liver function indexes,immune function and complications were compared between the two groups.Result:The operation time and hospital stay of the study group were shorter than those of the control group,the first time of getting out of bed was earlier than that of the control group,and the bile drainage volume and intraoperative blood loss were less than those of the control group,the differences were statistically significant (P<0.05).After surgery,the levels of total bilirubin (TBIL),direct bilirubin (DBIL) and indirect bilirubin (IBIL) were decreased in both groups,and the levels of TBIL,DBIL and IBIL in the study group were lower than those in the control group,the differences were statistically significant (P<0.05).After surgery,the levels of alanine aminotransferase (ALT),alkaline phosphatase (ALP),γ-glutamyltransferase (GGT) and aspartate aminotransferase (AST) in both groups were decreased,and the levels of ALT,ALP,GGT and AST in the study group were lower than those in the control group,the differences were statistically significant (P<0.05).After surgery,the levels of immunoglobulin A (IgA),immunoglobulin G (IgG) and immunoglobulin M (IgM) were decreased in both groups,and the levels of IgA,IgG and IgM in the study group were higher than those in the control group,the differences were statistically significant (P<0.05).After surgery,the incidence of complication of the study group was lower than that of the control group,the difference was statistically significant (P<0.05).Conclusion:Ultrasound-guided PTCD can accelerate the recovery of patients,reduce the degree of jaundice,improve liver function,accelerate the recovery of immune function,and reduce the incidence of complications.
Keywords：Ultrasound guidancePercutaneous transhepatic biliary drainageObstructive jaundice
Publication Date：2024-11-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 21-26 )