摘要
目的分析与研究经皮肝胆囊穿刺术治疗急性胆囊炎的疗效。方法本文选择80例急性胆囊炎患者进行研究,将这些患者随机分成两组,每组40例,其中有结石性胆囊炎患者28例,非结石性胆囊炎患者12例;观察组患者应用经皮肝胆囊穿刺术进行治疗,而对照组则应用经腹腔胆囊穿刺引流进行治疗。之后对比两组治疗方法的安全性以及疗效。结果患者在24h之内腹痛情况均有缓解,24～72h之内患者的体温均恢复正常,住院10～15d没有出现围术期患者死亡的情况,同时,患者手术前有伴发疾病的均无加重趋势。患者当中出现1例患者术后72h腹痛情况缓解不明显,为引流管不通,在对引流管进行通畅后患者腹痛情况有所缓解。术后,1例患者腹痛加重,通过对其进行胆囊造影检查,发现有胆汁外漏的情况,通过对症治疗以及加强抗感染治疗之后,患者腹痛情况有所缓解。结论治疗急性胆囊炎,经皮肝胆囊穿刺术创口小、操作简单、疗效确切,并且安全性高,具有着非常重要的临床应用价值。
Objective Analysis and research percutaneous transhepatic gallbladder puncture the efficacy of the treatment of acute cholecystitis.Methods 80 cases of patients with acute cholecystitis study,these patients were randomly divided into two groups,each group of 40 cases including 28 cases of patients with cholecystitis,acalculous cholecystitis in 12 cases;The patients application by percutaneous liver gallbladder puncture for the treatment and control group application to be treated by intraperitoneal gallbladder puncture and drainage.Then compared the safety and efficacy of the two groups of treatment.Results The patients with both ease the 24 h within the abdominal pain,24~72 h within the patient＇s body temperature returned to normal,hospital 10~15 d no perioperative death in patients with patients before surgery were associated with disease no aggravating trend.One case of patients with postoperative the 72 h abdominal pain of which patients to alleviate the obvious barrier for the drainage pipe,drainage tube patency in patients with abdominal pain eased.After surgery,patients with abdominal pain increased,through their gallbladder imaging,found that bile leakage after symptomatic treatment and the strengthening of anti-infective therapy,patients with abdominal pain eased.Conclusion The treatment of acute cholecystitis,percutaneous transhepatic gallbladder puncture wound is small,simple operation,and effective,and safe,with a very important clinical value.
出处
《中国实用医药》
2012年第8期32-33,共2页
China Practical Medicine
关键词
急性胆囊炎
经皮肝胆囊穿刺术
Acute cholecystitis
Percutaneous transhepatic gallbladder puncture
