摘要
本文报告经皮直接穿刺胆囊造口65例。患者均为病重、年老或有严重夹杂病不易耐受常规手术的高危病例。通过导管造影确定诊断,胆道梗阻得到引流减压。给某些需择期手术的病例改善了全身状况。并可于嗣后经瘘管取石、溶石等治疗。操作上,按照“嵌入和卡住”的原理,应用作者设计的扩张导管,以 Seldinger 方式直接穿刺胆囊置管。经临床实验观察和临床实际应用表明,未发生因置管造口操作引起胆漏等并发症。
Percutaneous transperitoneal puncture cholecystostomy under the guidance of ultrasono
graphy was done in 65 critically ill and high risk elderly patients who could not tolerate
conventional cholecystostomy.This procedure decompressed the obstructed biliary tract and
improved the general condition of patients.Moreover,it established an avenue for gallstones
extraction.The dilating catheter designed and made by the authors can be safely inserted
into the gallbladder with Seldinger's technique.No bile leakage complication happened.This
technique is safe,less traumatic and is an alternative of operative cholecystotomy.
出处
《上海医学》
CAS
CSCD
北大核心
1991年第1期15-18,2,共4页
Shanghai Medical Journal
