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- W2352420805 abstract "Objective;To investigate the curative effect of PTCT using ultrasound combined with DSA to treat high level malignant obstructive jaundice patients who had unobvious dilated intrahepatic bile ducts(diameter of 2 grade branch ranged from 0.3cm to 0.5cm).Methods:Clinical data of 97 patients with high level malignant obstructive jaundice who accepted PTCT using ultrasound combined with DSA were retrospectively analyzed.Intrahepatic bile ducts of all the patients were not dilated obviously.According to the drainage way,puncture site and route of cathetering designed by ultrasound in advance,PTCD was conducted guided by ultrasound combined with DSA.Different types of drainage were adopted depending on the types of obstruction.Results:The catheter were inserted successfully in 91 cases(91/97,93.81%).The serum total bilirubin level decreased from 437.82 mmol/L ± 205.34 mmol/L to137.34 mmol/L ± 123.34 mmol/L(P 0.05),the AST level dropped from 124.72 IU/L ±72.12 IU/ to 46.76 IU/L ± 18.23 IU/L,and the ALT decreased from 146.82 IU/L ±92.10 IU/L to 53.46 IU/L ±23.21 IU/L(P 0.05) two weeks after operation.No serious complications such as severe bleeding,choleperitonitis was observed either in operation or postoperatively.Conclusion;The application of ultrasound combined with DSA in the operation of PTCT for the high level malignant obstructive jaundice patients who had unobvious dilated intrahepatic bile ducts is effective with high successful rate and mild complications.It is worthy of clinical application." @default.
- W2352420805 created "2016-06-24" @default.
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- W2352420805 date "2013-01-01" @default.
- W2352420805 modified "2023-09-26" @default.
- W2352420805 title "Clinical Application of PTCD for High Level Malignant Obstructive Jaundice using Ultrasound in combination with DSA" @default.
- W2352420805 hasPublicationYear "2013" @default.
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