What is the significance of percutaneous liver puncture needle biliary drainage

The significance of PTCD (percutaneous transhepatic biliary drainage) is actually some indications for treatment, mainly adapted to the following four aspects:

1. The first aspect is for patients with advanced biliary tract and pancreatic tumors. Because the disease is relatively late, or distant metastasis has occurred, or the tumor has invaded blood vessels, or the patient is relatively old, the patient is unwilling to undergo surgery.

In this case, palliative biliary drainage is required;

2. The second indication is as a routine preoperative preparation. For example, patients need to undergo pancreaticoduodenal surgery or radical resection of hilar cholangiocarcinoma, because the wounds of these operations are relatively large and the impact on the patient is relatively large. In addition, after the patient has been jaundiced for a long time, the liver function and coagulation function are affected, and liver failure is likely to occur after surgery, and massive bleeding is likely to occur during surgery. It is close to normal. If you do surgery again at this time, the safety will be greatly improved;

3. The third indication is when the patient has acute biliary tract infection, such as bile duct stones and biliary ascaris, because of acute biliary tract infection, septic shock may occur, and the patient's vital signs are unstable. The risk of emergency surgery is quite high. At this time, a simple biliary drainage is performed to drain the infected bile, and then combined with some anti-inflammatory treatment and anti-shock treatment to stabilize the patient's vital signs, then do biliary drainage. For some exploratory surgeries, the safety will also be improved;

4. The fourth indication is that in some malignant tumors, as well as some iatrogenic biliary tract injuries and biliary stenosis, when a biliary stent is required, a stent needs to be placed through PTCD.

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