探讨B超引导经皮肝穿刺胆道引流术（percutaneous transhepatic cholangial drainage, PTCD）治疗阻塞性黄疸的临床价值。

回顾性分析广州中医药大学第一附属医院2009年5月至2012年5月80例阻塞性黄疸病例采用PTCD治疗的临床资料，总结放置PTC管数、平均手术时间、术后24 h胆汁引流量，并对比分析手术前后血清总胆红素水平（TB）差异。

80例患者穿刺放置PTC管95根，留置时间为7~185（45±21）d。平均手术时间为（30±15）min，术后24 h胆汁引流量为（415±214）ml。术后1周TB均值（μmol/L）与术前相比明显下降，差异有统计学意义（116±56 vs 354±150，t=17.030，P<0.01）。术后2周TB降至（57±36）μmol/L，与术后1周TB相比，差异有统计学意义（t=10.621，P<0.01）。发生胆汁漏及胆道出血并发症共2例（2.5%）。

B超引导PTCD术具有微创、安全的优点，是治疗阻塞性黄疸有效方法之一。

To explore the clinical value of ultrasound-guided percutaneous transhepatic cholangial drainage (PTCD) in the treatment of obstructive jaundice.

Eighty patients with obstructive jaundice who underwent ultrasound-guided PTCD in our hospital from May 2009 to May 2012 were followed up, and their records such as PTC tube number, the average operation time, postoperative 24h bile drainage and serum total bilirubin level were summarized retrospectively.

Ninety-five PTC tubes were inserted in eighty patients, and the average indwelling time was 7-185(45±21) d. The mean time of operation was (30±15) min. The drainage of 24hours after operation was (415±214) ml. Serum total bilirubin of patients at time of two weeks after operation, one weeks after operation and pre-operation were (57±36)μmol/L, (116±56)μmol/L, and (354±150) μmol/L, P<0.01. Bile leakage and hemobilia occurred in two patients (2.5%).

Ultrasound-guided PTCD is a good choice for obstructive jaundice, for it is minimally invasive and safe.