[摘要] 目的 探讨恶性梗阻性黄疸经PTCD路径获取病理诊断的临床应用价值。方法 2017年1月—2019年3月回顾性分析36例经PTCD路径活检的恶性梗阻性黄疸患者病历资料，36例患者均接受PTCD治疗，引流术后2周或计划植入支架之前经PTCD路径行钳夹或毛刷活检。结果 36例中30例获得活检病理诊断，28例获得阳性病理诊断。36例患者中，2例患者出现胆心反射，予阿托品对症治疗好转，余患者术中术后未出现严重并发症。其中3位患者总胆红素下降后行外科手术，活检与术后病理诊断一致。结论 恶性梗阻性黄疸经PTCD路径活检获取病理诊断是安全、微创、有效、便捷及较高的阳性率。

    [关键词] 恶性;梗阻性黄疸;PTCD;活检

    [Abstract] Objective To explore the clinical application value of pathological diagnosis of malignant obstructive jaundice via PTCD pathway. Methods From January 2017 to March 2019， the history of 36 patients with malignant obstructive jaundice who underwent PTCD biopsy was retrospectively analyzed. All 36 patients were treated with PTCD. Two weeks after drainage ......