摘要
目的分析CT引导下经皮经肝胆囊穿刺置管引流(PTGBD)联合择期腹腔镜胆囊切除术(LC)治疗高龄急性重症胆囊炎(SAC)的效果。方法选取2018-01-2019-12间收治的112例高龄SAC患者,对照组行急诊LC,观察组行CT引导下PTGBD联合择期LC,每组56例。比较2组的疗效。结果观察组手术时间、术中出血量,以及术后肛门排气时间、并发症发生率和住院时间均少(短)于对照组,差异均有统计学意义(P<0.05)。结论CT引导下PTGBD联合择期LC术治疗高龄SAC,安全、有效,有利于患者术后康复。
Objective To analyze the effect of percutaneous transhepatic cholecystectomy(PTGBD) combined with elective laparoscopic cholecystectomy(LC) in the treatment of advanced acute severe cholecystitis(SAC).Methods The 112 elderly SAC patients admitted from 2018-01 to 2019-12 were selected, and the control group was treated by emergency LC, observation group under CT guidance PTGBD combined selection period,56 cases in each group. compare the efficacy of 2 group.Results Operative time, intraoperative bleeding volume, and postoperative anal exhaust time, incidence of complications and hospitalization time in the observation group were all less(lowen) than those of the control group(P<0.05).Conclusion CT guidance PTGBD combined with selective LC surgery to treat the elderly SAC, safe and effective, conducive to postoperative rehabilitation of patients.
作者
于梦尧
Yu Mengyao Imaging(Department of Kaifeng Central Hospital,Kaifeng,Henan 475000,China)
出处
《河南外科学杂志》
2020年第3期21-23,共3页
Henan Journal of Surgery
关键词
PTGBD
急性重症胆囊炎
LC
CT
PTGBD
Laparoscopic cholecystectomy
Acute cholecystitis
Complications
