经皮胆囊穿刺置管引流治疗高危急性胆囊炎-东南大学学报医学版

经皮胆囊穿刺置管引流治疗高危急性胆囊炎

单位：安庆市海军安庆医院介入放射科, 安徽安庆 246003

分类号：R816.5

出版年·卷·期（页码）：2014·33·第四期（479-481）

摘要：

目的：分析经皮胆囊穿刺置管引流术（PGCD）治疗高危急性胆囊炎的临床价值。方法：对30例高危急性胆囊炎行PGCD，其中23例为结石性急性胆囊炎，7例为非结石性急性胆囊炎；经皮经肝穿刺13例，经皮腹腔穿刺17例。结果：PGCD操作成功率为100%，24~72 h内患者腹痛症状缓解。7例非结石性胆囊炎患者术后4~6周顺利拔管；23例结石性胆囊炎患者中12例择期行外科手术，11例患者带管生存。结论：PGCD简单、安全、微创，是救治高危急性胆囊炎的一种实用介入方法，能为后续治疗创造条件。

Objective: To study the clinical value of percutaneous gallbladder catheterized drainage(PGCD) in the treatment of acute severe cholecystitis. Methods: During the period of January 2004-July 2013, PGCD was performed in 30 cases including 23 cases of calculous cholecystitis and 7 cases of acalculous cholecystitis;13 cases were punctured by percutaneous transhepatic,17 cases by percutaneous abdomen cavity. Results: The success rate of PGCD technical operation was 100%.Abdominal pain was relieved within 24-72 hours after operation. The drainge tube was extracted in 7 cases of acalculous cholecystitis postoperative period of 4-6 weeks;23 cases of calculous cholecystitis were treated subsequently,12 cases of selective surgery,11 cases of living with retention of drainge tube. Conclusion: PGCD is a simple, safe and minimal invasive treatment for acute severe cholecystitis, which is very helpful for the subsequent therapies.

参考文献：

[1] 吴在德,吴肇汉.外科学[M].7版.北京:人民卫生出版社,2007:549-551.
[2] 张诚,杨玉龙,林美举,等.损伤控制理念指导老年胆道系统疾病诊治体会[J].肝胆胰外科杂志,2012,24(5):373-376.
[3] 项灿宏,周雷,马仁,等.经皮经肝胆囊穿刺引流术和延期的腹腔镜胆囊切除术治疗老年急性胆囊炎[J].中国微创外科杂志,2007,7(5):452-453.
[4] 刘玲,顾殿华,陶国全.腹腔镜胆囊切除术后胆漏的原因分析和防治[J].东南大学学报:医学版,2008,27(2):99-101.
[5] 谢如钢,孙喜太,孙凯,等.老年人腹腔镜胆囊切除术的临床体会[J].现代医学,2008,36(6):453-454.
[6] 杜冬,崔忠,孙建斌,等.经皮经肝胆囊穿刺置管引流治疗老年重症急性胆囊炎[J].临床误诊误治,2012,25(2):78-79.
[7] 梁松年,黄崑,徐克,等.X线下经皮胆囊穿刺引流治疗急性重症胆囊炎31例分析[J].介入放射学杂志,2009,18(6):446-448.
[8] 王军,金焰.经皮经肝胆囊穿刺引流术在高龄、高危患者的应用[J].肝胆胰外科杂志,2012,24(1):67-68.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录