摘要
目的讨论经皮肝胆囊抽吸术在治疗急性胆囊炎的临床疗效以及相关因素分析。方法收集2008年5月至2011年9月外科收治的35例急性胆囊炎患者的临床资料进行回顾性分析,随机分为观察组21例,采取肝胆囊抽吸术,对照组14例,采取腹腔镜胆囊切除或者胆囊造瘘术,观察对比两组治疗效果。结果采取经皮肝胆囊抽吸术的21例患者中只有1例出现了较轻的胆漏,另20例患者炎症得到缓解后采取了胆囊切除术,术后无并发症,14例直接采取腹腔镜胆囊切除术或者胆囊造瘘的患者中有6例发生术后并发症。经皮肝胆囊抽吸术与手术治疗的并发症比较差异有统计学意义(P<0.05)。结论外科治疗急性胆囊炎时,可依据患者的适应症,以采取经皮肝胆囊抽吸术治疗为首选,能有效避免发生各种并发症,对提高患者的治愈率有重要的临床应用价值。
Objective Discussion of percutaneous transhepatic gallbladder aspiration for acute cholecystitis in the clinical efficacy and related factors. Methods Collected in our hospital from May 2008 to September 2011 admitted to 35 surgical patients with acute cholecystitis were retrospectively analyzed clinical data were randomly divided into two groups, 21 cases of liver to the gallbladder aspiration in the control group 14 cases, to the abdominal cavity mirror cholecystectomy or cholecystostomy, observed and compared two groups of treatment.Results The group of 35 patients, percutaneous liver to the gallbladder aspiration in 21 patients, only 1 case of minor bile leakage, and the other to ease inflammation in 20 patients taken after a cholecystectomy, postoperative complications, and 14 cases of laparoscopic cholecystectomy taken directly or gallbladder fistula patients, 6 patients had postoperative complications, percutaneous transhepatic gallbladder aspiration and complications of surgery are more significant difference, statistically significant （P 〈0.05）. Conclusion Surgical treatment of acute cholecystitis when the liver can be based on the patient＇s indications, in order to take percutaneous transhepatic gallbladder aspiration in the treatment of choice, can effectively avoid the occurrence of various complications, to improve the cure rate of patients has important clinical value.
出处
《当代医学》
2011年第34期103-104,共2页
Contemporary Medicine
关键词
经皮肝胆囊抽吸术
急性胆囊炎
Percutaneous transhepatic gallbladder aspiration
Acute cholecystitis
