Clinical Application of Obstructive jaundice by Color Doppler Ultrasound-guided Percutaneous Transhepatic Cholangial Drainage Treatment

Objective:To investigate the clinical value of color Doppler ultrasound-guided percutaneous transhepatic cholangial drainage (PTCD) treatment obstructive jaundice.Methods:PTCD was performed in 80 patients of obstructive jaundice caused by biliary calculi,carcinoma of gallbladder,The 90 drainage were carried out in all the cases.The contents of Alanine aminotransferase(ALT)and Tumor necrosis factor-α(TNF-α)before and after treatment and complications were observed.Results:The successive rate of single puncture of bile duct was to 95.5%,that of twice drainage was 100%.Tube were inserted to the target biliary for 5～15days.The complications were happened in 4 caces(5.0%);The contents of ALT (85.33±32.78)U/L after surgery were significantly lower than before surgery (188.60±105.56)U/L(t=2.889,P0.01);The contents of TNF-α(104.32±19.59)pg/mL after surgery with before surgery (108.58±19.95l)pg/mL were no significant difference(t=1.839,P0.05).Conclusions:Ultrasound Guided PTCD treatment obstructive jaundice were most effective method.