経皮経肝胆嚢ドレナージ症例の検討 : とくにPTGBD併用PTCD法も含め

Eight cases of PTGBD were investigated. The average age was 69.3 years, and 6 cases were male and 2 cases were female. There were 6 cases of acute cholecystitis and 2 cases of malignant disease (1 middle bile duct cancer, 1 pancreas head cancer). Before state of PTGBD of these patients, severe cardiac disease and after posterior spinal fixation and other disease were observed. Using PTGBD, pain, fever, and other symptoms had remarkably improved in all patients. In all 6 patients with acute cholecystitis, CRP and leukocyte were significantly decreased as the 2 days after this procedure. PTCD associated with PTGBD was performd in 2 patients with middle or distal obstruction of the common bile duct. The bilirubin decrease rate"b" (b value) was-0.20±0.03 (M±SE) in the PTGBD+PTCD group and-0.096±0.15 (M±SE) in the only PTCD group, with a statistically significant difference (p<0.01). The procedure was effective in reducing jaundice.