摘要
目的探讨彩超引导下经皮经肝穿刺胆囊置管引流术(PTGD)在急性重症胆囊炎治疗中的应用价值。方法回顾性分析2005年6月-2008年6月97例行超声引导下经皮经肝穿刺胆囊置管引流术的急性重症胆囊炎患者的临床资料。结果行超声引导下经皮经肝穿刺胆囊置管引流术的97例患者中,96例炎症均得到有效的控制(1例于术后第2天死于全身脏器衰竭)。76例患者于置管3～6周后择期行胆囊切除术,痊愈出院;4例急性非结石性胆囊炎患者于症状及体征缓解后拔管出院;16例因合并有其它脏器疾病不能耐受手术而带管随访,带管最长者已达1年。结论彩超引导下经皮经肝穿刺胆囊置管引流术在急性重症胆囊炎治疗中的具有极大的应用价值。
Objective To investigate the value of percutaneous transpepatic gallbladder drainage guided by ultrasound in the treatment of acute cholecystitis. Methods Retrospective analysis was performed in 97 clinical cases with acute severe cholecystitis from Jun 2005 to Jun 2008.All patients underwent percutaneous gallbladder drainage guided by ultrasound. Results All 97 cases of acute cholecystitis were drainaged and symptom of acute cholecystitis in 96 cases were controlled effectively（1 case died of failure of multiple organs on the next day after operation）.Cholecystectomy was performed in 76 patients in 3-6 weeks after drainage,and all of them recovered and discharged later. The symptoms were alleviated in 4 acute non-stone cholecystitis patients and discharged without the drainage tubes. In other 16 cases unbearable to cholecystectomy,the drainage tubes were followed up for as long as 1 year. Conclusion Percutaneous transpepatic gallbladder drainage guided by ultrasound is valuabe in the treatment of acute severe cholecystitis.
出处
《上海医学影像》
2009年第1期67-69,共3页
Shanghai Medical Imaging
关键词
超声
经皮经肝穿刺胆囊置管引流
急性重症胆囊炎
Ultrasound
Percutaneous transpepatic gallbladder drainage
Acute severe cholecystitis
