摘要
目的:总结B超引导下经皮经肝胆囊穿刺引流(PTGD)治疗急性梗阻性胆囊炎,然后联合腹腔镜胆囊切除的临床经验。方法:回顾分析2004年1月-2005年11月期间接受PTGD治疗20例急性梗阻性胆囊炎的临床资料。结果:20例均穿刺置管成功,术后2-3 h腹痛均减轻,体温24-48 h降至正常,平均置管时间6 d,7例于1周后行腹腔镜胆囊切除,中转开腹1例;13例于2周后行腹腔镜胆囊切除,胆囊床出血2例,胆漏1例,腹腔引流4例,全组无一例因急性胆囊炎及相关的治疗而发生严重的并发症及死亡。结论:PTGD联合腹腔镜治疗急性梗阻性胆囊炎是一项安全、简便、有效的方法。
Objective：To summarize the experience drawn from treatment of patients with acute obstructive chole cystitis by ultrasound-guided Percutaneous transhepatic gallbladder drainage（UPTGD）,then combined LC. Methods： The clinical data of 20 patients who underwent UPTGD and combined LC. Between January 2004 and December 2005 were analyzed retrospectively. Results： UPTGD was successfully performed in 20 cases. Gallbladder drainage were effective in all patients. The abdominal inalpain were relived for 2 3 hours later and body＇s temperature declined to normal range after24- 48 hours. The average time of PTGD were 6 days, in all case. 7 cases were performoed LC one week later. One case was converted to laparotomy. 13 patients were operated by LC two weeks later. Fossa of gallbladder bleeding occurred two patients,Bile leakage occurred one case. 4 cases were drainaged from peritoneal cavity. No patient died from acute cholecystitis. Conclusion：Combination of PTGD and laparoscopy was a safe, sim pie and effective for treatment of Acute obstructive cholecystitis.
出处
《中国临床医学》
北大核心
2006年第4期600-601,共2页
Chinese Journal of Clinical Medicine
关键词
急性梗阻性胆囊炎
经皮经肝胆囊穿刺引流
腹腔镜
Acute obstructive cholecystitis
Percutaneous transhepatic gallbladder drainage Laparospy
