Percutaneous imaging-guided interventions for acute biliary disorders in high surgical risk patients

作     者：Ragab Hani Donkol Nahed Abdel Latif Khaled Moghazy 

作者机构：Department of RadiologyAseer Central Hospital Department of RadiologyFaculty of MedicineCairo University Department of RadiologyFaculty of MedicineAl Azhar University Department of RadiologyFaculty of MedicineAlexandria UniversityEgypt Department of RadiologyKing Faisal UniversityDammam 

出 版 物：《World Journal of Radiology》 (世界放射学杂志（英文版）（电子版）)

年 卷 期：2010年第2卷第9期

页      面：358-367页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Biliary drainage Biliary obstruction Biliary sepsis Cholecystostomy Interventional radiology 

摘      要：AIM:To evaluate the efficacy of percutaneous imagingguided biliary interventions in the management of acute biliary disorders in high surgical risk ***:One hundred and twenty two patients underwent 139 percutaneous imaging-guided biliary interventions during the period between January 2007 to December *** patients included 73 women and 49 men with a mean age of 61 years(range 35-90 years).Fifty nine patients had acute biliary obstruction,26 patients had acute biliary infection and 37 patients had abnormal *** procedures were performed under computed tomography(CT)-(73 patients),sonographic-(41 patients),and fluoroscopic-guidance(25 patients).Success rates and complications were *** χ2 test with Yates correction for continuity was applied to compare between these procedures.A P value 0.05 was considered ***:The success rates for draining acute biliary obstruction under CT-,fluoroscopy-or ultrasoundguidance were 93.3,62.5 and 46.1,respectively with significant P values(P = 0.026 and 0.002,respectively).In acute biliary infection,successful drainage was achieved in 22 patients(84.6).The success rates in patients drained under ultrasound-and CT-guidance were 46.1 and 88.8,respectively and drainage under CT-guidance was significantly higher(P = 0.0293).In 13 patients with bilomas,percutaneous drainage was successful in 11 patients(84.6).Ten out of 12 cases with hepatic abscesses were drained with a success rate of *** addition,the success rate of drainage in 12 cases with pancreatic pseudocysts was *** reported complications were two deaths,four major and seven minor ***:Percutaneous imaging-guided biliary interventions help to promptly diagnose and effectively treat acute biliary *** either cure the disorders or relieve sepsis and jaundice before operations.