Upper obstructive jaundice treated with percutaneous transhepatic biliary drainge

Objective To explore the interventional treatment for upper obstructive jaundice and evaluate its therapeutic effect.Methods:15 patients(male 11 cases,female 4cases,age from 41 to 78 years old,mean 63.5 years old)with upper obstructive jaundice were treated with percutaneous transhepatic biliary drainge(PTBD)including external drainge and percutaneous transhepatic biliary stent placement.Results:22 procedures were performed in 15 cases,the second PTBD were performed in 7 patients.The stent placement were performed in 12 of 15 patients.After the initial procedure,the clinical success was obtained in 13 of 15 patients(13/15,86.7%).The average serum total bilirubin level was reduced obviously from 248.16 ± 116.07 μ mol/L before PTBD to 114.54 ± 62.20 μ mol/L one week later.There was significant difference between before operation and one weeks after procedure(P0.01).Conclusion:PTBD was the safe and effective therapy for upper obstructive jaundice.