| 摘要: |
| 目的：分析超声引导下经皮经肝胆囊穿刺引流（UG-PTGD）治疗高危急性胆囊炎的效果。方法：对 348 例高危急性胆囊炎患者行 UG-PTGD 治疗，并对其临床资料进行回顾性分析。结果：348 例置管成功率 99.1%，术后 2 周内 97.7%患者症状消失。术后并发症出血 3 例，胆漏 1 例，穿刺部位疼痛 4 例，引流管堵塞或脱落 5 例，1 例因急性重型胰腺炎引发多脏器功能衰竭死亡，1 例术后 1 周心梗死亡。结论：UG-PTGD 是一种治疗高危急性胆囊炎的较好方法。 |
| 关键词: 急性胆囊炎 高危胆囊炎 经皮经肝胆囊穿刺引流术 |
| DOI：10.3969/j.issn.1007-6948.2019.04.038 |
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| 基金项目: |
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| Clinical Analysis on Treatment of High-Risk Acute Cholecystitis by UG-PTGD: 348 Cases |
| WANG Jian- xiong,WU Yu,WANG Ju-yi,WANG Guang-xia |
| Department of Ultrasound, Tianjin Nankai Hospital，Tianjin ( 300100), China |
| Abstract: |
| Objective To study the therapeutic effect of ultrasonically guided percutaneous transhepatic gallbladder bile drainage (UG-PTGD) in treatment of high-risk acute cholecystitis patients. Methods The patients ( 374 cases) with high risk acute cholecystitis undergoing UG-PTGD were retrospectively analyzed. Results Among the 348 cases of patients with high risk acute cholecystitis, the success rate of cannulation was 99.1%. After two weeks of bile drainage, the symptoms of 97.7% of the patients disappeared. Postoperative complications included bleeding in 3 cases, bile leakage in 1 case, pain in puncture site in 4 cases and blockage or abscission of drainage tube in 5 cases. There were two death cases, one died of multiple organ failure caused by acute severe pancreatitis, and one died of myocardial infarction in 1 week after operation. Conclusion UG-PTGD treatment is a simple and effective method against high risk acute cholecystitis. |
| Key words: Acute cholecystitis high-risk cholecystitis gallbladder bile drainage |
