Clinical analysis of interventional treatment of 75 patients with malignant obstructive jaundice

Objective To investigate the method and efficacy of interventional treatment in malignant obstructive jaundice.Methods A total of 75 patients with malignant obstructive jaundice had different levels of body skin,sclera jaundice,elevated bilirubin,declined liver function.Before the surgery,the plane of the CT scan for epigastric parts + enhanced scan,or for MRCP.Using the Seldinger puncture technique,percutaneous transhepatic cholangiography (PTC) and percutaneous transhepatic biliary drainage (PTCD) was given.Drainage for 7-10 days,and then the angiography was reviewed.When the bile duct retraction,the biliary stenting (EMBE) was planted,and the primary disease were treated.Results All the 75 patients had successful puncture,78 drainage tubes were placed,15 biliary stents were placed.Three days after surgery,bilirubin decreased significantly,yellowish discoloration of skin and iris faded gradually,liver function returned to normal after 4 weeks.Two patients died within 6 months after surgery,and the 1-year survival rate was 68％.Conclusions Percutaneous transhepatic biliary drainage tube implantation,biliary stenting can significantly improve the clinical symptoms,quality of life of the malignant obstructive jaundice patients,and prolong the survival time. Key words: Obstructive jaundice; Radiology ;  Interventional ;  Efficacy