摘要
目的分析经皮经肝胆囊穿刺引流术治疗急性化脓性胆囊炎病症的价值,评定对病情控制改善的效果。方法采用随机数字表法的形式对该院于2017年4月—2018年4月期间所收治的76例急性化脓性胆囊炎患者予以分析分组,实验组(n=38)行经皮经肝胆囊穿刺引流术治疗,对照组(n=38)行腹腔镜胆囊切除术治疗,对比两组治疗后的临床指标。结果经过调查实验组CA19-9(55.2±20.6)U/mL、碱性磷酸酶(105.7±13.8)U/L、白细胞计数(6.9±2.6)×10~9/L、总胆红素(22.1±12.4)μmol/L、腹痛评分(1.6±0.5)分。对照组CA19-9(109.0±65.2)U/mL、碱性磷酸酶(121.5±21.6)U/L、白细胞计数(10.6±4.0)×10~9/L、总胆红素(30.2±12.2)μmol/L、腹痛评分(3.2±1.2)分(t=4.850 2,P=0.000 0、t=3.799 8,P=0.000 3、t=4.780 8,P=0.000 0、t=2.870 3,P=0.005 3、t=7.586 9,P=0.000 0)。实验组优于对照组,两组数据比较有统计学意义(P<0.05)。结论在急性化脓性胆囊炎患者实际治疗的过程中,采用经皮经肝胆囊穿刺引流手术方式,能够帮助患者对病情进行控制,缓解临床症状,值得进行推广。
Objective To analyze the value of percutaneous transhepatic gallbladder drainage in the treatment of acute suppurative cholecystitis and to evaluate the improvement of disease control.Methods 76 patients with acute suppurative cholecystitis admitted to our hospital from April 2017 to April 2018 were analyzed by random number table method.The experimental group(n=38)underwent percutaneous transhepatic gallbladder puncture drainage,and the control group(n=38)underwent laparoscopic cholecystectomy.The clinical indicators of the two groups were compared.Results After investigation,the experimental group CA19-9(55.2±20.6)U/mL,alkaline phosphatase(105.7±13.8)U/L,white blood cell count(6.9±2.6)×10^9/L,total bilirubin(22.1±12.4)μmol/L,abdominal pain score(1.6±0.5)points.Control group CA19-9(109.0±65.2)U/mL,alkaline phosphatase(121.5±21.6)U/L,white blood cell count(10.6±4.0)×10^9/L,total bilirubin(30.2±12.2)μmol/L,abdominal pain score(3.2±1.2)points(t=4.850 2,P=0.000 0,t=3.799 8,P=0.000 3,t=4.780 8,P=0.000 0,t=2.870 3,P=0.005 3,t=7.586 9,P=0.000 0).The experimental group was superior to the control group,and the data of the two groups were statistically significant(P<0.05).Conclusion In the actual treatment of patients with acute suppurative cholecystitis,percutaneous transhepatic gallbladder puncture drainage can help patients to control the disease and relieve clinical symptoms,which is worthy of promotion.
作者
杨晏东
YANG Yan-dong(Department of General Surgery,Haimen People's Hospital,Nantong,Jiangsu Province,226100 China)
出处
《系统医学》
2019年第5期107-109,共3页
Systems Medicine
关键词
急性化脓性胆囊炎
经皮经肝胆囊穿刺引流术
病情控制
Acute suppurative cholecystitis
Percutaneous transhepatic gallbladder drainage
Disease control
