超声引导下经皮肝穿刺胆道引流PPT课件.ppt

超声引导下经皮肝穿刺胆道引流 Percutaneous Transhepatic Cholangiography and Drainage;Purpose; Anatomy ;;;胆汁的流向;Diameter of common bile duct;Gallbladder;Gallbladder wall thickness;Pathology;Chief complain Yellowish skin Tea color urine Clay color stool Skin itching ;Indication;Contraindication;Preparation;Materials;chiba needle;PTCD包;;Tie ;Pre-PTCD imaging study;Methods;Procedure;Procedure;穿刺 达定位后拔內针 打造影剂找胆道 抽Bile 放Guide Wire ;打造影剂做胆道造影 放pig-tail 引流袋固定;Post procedure care;Complications;PTCD的优缺点;