摘要
目的评估经皮经肝胆囊穿刺引流术于治疗高龄高危急性梗阻性胆囊炎患者中的应用。方法对2008年1月-2013年12月之间53例接受经皮经肝胆囊引流术治疗的高龄高危急性梗阻性胆囊炎患者临床资料进行回顾性分析。结果所有的53个病人成功地接受经皮穿刺及胆囊引流,并取得有效的引流。所有患者的腹痛症状于操作后2~3小时得以减轻,体温于操作后24-48 h下降到正常水平。引流的平均时间是15.5天。所有患者在经皮经肝胆囊引流术后6-48天内出院。没有术后出血和胆漏。没有患者在PTGD后有严重并发症或死亡除了1例气胸。结论 PTGD治疗高龄高危急性梗阻性胆囊炎是一项安全、有效、简便的方法。
Objective To evaluate the treatment application of percutaneous transhepatic gallbladder drainage （PTGD） in a- cute obstructive cholecystitis with elderly and highrisk patients. Methods A retrospective analysis was performed of clinical data in 53 elderly and highrisk patients with acute obstructive cholecystitis who were treated by PTGD between Junuary 2008 and December 2013. Results All the 53 patients successfully underwent percutaneous puncture and drainage of gallbladder and obtained effective drainage. All patients ＇ symptoms of abdominal pain were relieved after 2 ~ 3 h of operation, and temperature decreased to normal level 24 - 48 h after operation. The average time of draining was 15.5 days. All cases were performed 6 -48 days after PTGD. There was no postoper- ative bleeding and biliary leakage. No patient had severe complication or died except 1 case of pneumothorax after PTGD. Conclusions PTGD was a safe, simple and effective procedure for the treatment of elderly and highrisk patients with acute obstructive cholecystitis.
出处
《肝胆外科杂志》
2015年第2期121-123,共3页
Journal of Hepatobiliary Surgery
关键词
高龄高危
急性梗阻性胆囊炎
经皮经肝胆囊引流术
Elderly and highrisk
Acute obstructive cholecystitis
Percutaneous transhepatic gallbladder drainage
PTGD
