摘要
目的:探讨对老年急性胆囊炎患者应用B超引导下经皮胆囊穿刺置管引流术(percutaneous gallbladder catheterized drainage,PGCD)的临床价值及意义。方法:回顾34例行B超引导下PGCD的老年急性胆囊炎患者的临床资料,与同期22例行胆囊切除术的老年急性胆囊炎患者临床资料进行对比。结果:34例行B超引导下PGCD的老年急性胆囊炎患者术后并发症发生率及死亡率均为0,平均住院18.2d;而22例胆囊切除患者术后并发症发生率为40.9%,死亡率为13.6%,平均住院23.7d。两者比较差异有统计学意义(P<0.05)。结论:B超引导下PGCD治疗老年急性胆囊炎安全、有效、操作简便。
Objective： To investigate the clinical value and significance of B ultrasonography guiding percutaneous gallbladder catheterized drainage （PGCD）in elder patients with acute chole-cystitis. Methods： The clinical data of 34 elder patients with acute cholecystitis in our hospital who were treated with PGCD were analysed retrospectively, and comparing with those clinical data of 22 elder patients with acute cholecystitis in our hospital during the same period who were treated with traditional gallbladder removal operation, and these data were evaluated with statistical analysis. Results： The incidence rate of postoperative complications and death rate in the group of elder patients with acute cholecystitis who were treated with PGCD were 0, the average stay was 18.2 days. The incidence rate of postoperative complications in the group of elder patients with acute cholecystitis who were treated with traditional gallbladder removal operation was 40.9% , the death rate of this group was 13.6%, and the average stay was 23.7 days. Statistical analysis confirmed that the difference of incidence rate of postoperative complications, death rate and average stay between these two treatments have statistical significance. Conclusion： Ultrasonography guiding PGCD is a safe, effective and easily operating method for the first treatment plan treatment of elder patients with acute cholecystitis.
出处
《中国现代普通外科进展》
CAS
2009年第12期1055-1057,共3页
Chinese Journal of Current Advances in General Surgery
