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％，24～72h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.
出处
《东南大学学报（医学版）》
CAS
2014年第4期479-481,共3页
Journal of Southeast University(Medical Science Edition)
关键词
经皮胆囊穿刺置管引流术
急性胆囊炎
介入治疗
percutaneous gallbladder catheterized drainage
acute cholecystitis
interventional therapy
