[1]黄建,谢伟,孙安仁,等.经皮胆囊穿刺造瘘处理高危急性胆囊炎53例分析[J].陆军军医大学学报(原第三军医大学学报),2007,29(13):1351-1352.
　HUANG Jian,XIE Wei,SUN An-ren,et al.Percutaneous cholecystostomy for acute cholecystitis in 53 high-risk patients[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(13):1351-1352.
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经皮胆囊穿刺造瘘处理高危急性胆囊炎53例分析(/HTML )
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陆军军医大学学报（原第三军医大学学报）[ISSN:1000-5404/CN:51-1095/R]

卷:
29卷
期数:
2007年第13期
页码:
1351-1352
栏目:
论著
出版日期:
2007-07-15

文章信息/Info

Title:
Percutaneous cholecystostomy for acute cholecystitis in 53 high-risk patients
作者:
黄建;  谢伟; 孙安仁; 杨德中; 张雷
重庆市中山医院普通外科
Author(s):
HUANG Jian;  XIE Wei;  SUN An-ren;  YANG De-zhong;  ZHANG Lei
Department of General Surgery, Chongqing Zhongshan Hospital, Chongqing 400013, China
关键词:
急性胆囊炎; 经皮胆囊穿刺造瘘术; 胆囊切除术
Keywords:
acute cholecystitis;  percutaneous cholecystostomy;  cholecystectomy
分类号:
R615; R657.41
文献标志码:
A
摘要:
目的    评价Ｂ超引导下经皮胆囊穿刺造瘘(percutaneous cholecystostomy，PC)处理高危急性胆囊炎患者的有效性和治疗经验。    方法    回顾性分析1999年1月至2005年8月接受PC治疗的53例高危急性胆囊炎患者的临床资料。    结果    53例均穿刺置管成功,4例因引流管脱落或堵塞而再次行PC。52例(98.1%)获得有效的胆囊引流,1例患者(1.9%)术后病情转坏，术后1 d行了紧急胆囊切除术。 41例于急性胆囊炎治愈后2周至3个月行择期胆囊切除术,全组无1例因经皮胆囊穿刺引流术引起的并发症死亡。随访分别达6个月至3年。    结论    经皮胆囊穿刺造瘘术是治疗高危急性胆囊炎患者的一项安全、简便、有效的方法。它有较高的成功率和较低的并发症。
Abstract:
Objective    To evaluate the clinical efficacy and outcomes of percutaneous cholecystostomy (PC) under type-B ultrasonic guide as an alternative treatment option for critically ill patients of acute cholecystitis.     Methods    The clinical data of 53 high-risk patients of acute cholecystitis were retrospectively analyzed, who received PC from January 1999 to August 2005.     Results    All cases were successfully punctured and intubated, and 4 received reoperation because of blocked tube or fall-off. Fifty-two (97.3%) gained bile drainage effectively. No complications occurred due to the procedures in the cholecystostomy and intubation. One patient required emergency cholecystectomy on day 1 after the procedures because of deteriorating conditions. Forty-one accepted selective cholecystectomy in 2 weeks to 3 months after cholecystostomy. The follow-up period was 6 months to 3 years.     Conclusion    PC is an effective, convenient and safe method in managing acute cholecystitis in high-risk patients, with high achievement ratio and less complications.

相似文献/References:

[1]张莹,范伟,张大国,等.急性胆囊炎腹腔镜胆囊切除术中胆道损伤的预防[J].陆军军医大学学报(原第三军医大学学报),2011,33(15):1571.
[2]孙海,张丰深,邓小明,等.ERCP术后急性胆囊炎的临床特点及诊治[J].陆军军医大学学报(原第三军医大学学报),2013,35(13):1430.
[3]文国义,于世远.阿米巴肝脓肿误诊原因的分析[J].陆军军医大学学报(原第三军医大学学报),1982,04(03):0.[doi:10.16016/j.1000-5404.1982.03.012 ]

更新日期/Last Update: 2008-10-15