摘要
目的:探讨经皮经肝胆囊穿刺引流术(PTGD)后胆囊不同切除时机治疗轻症急性胆源性胰腺炎(ABP)的效果。方法:回顾性收集医院收治的91例轻症ABP患者资料,根据PTGD后胆囊切除时机不同分为A组(46例)、B组(45例),A组PTGD后3~4周手术,B组PTGD后5~6周手术。对比两组手术及恢复相关指标、术后并发症发生率、总住院时间及费用,并记录随访6个月时复发率。结果:两组患者手术及恢复相关指标、术后并发症发生率比较,差异无统计学意义(P>0.05);A组患者住院时间短于B组,住院总费用低于B组(P<0.05)。两组患者随访6个月时的复发率对比,差异无统计学意义(P>0.05)。结论:PTGD后3~4周进行胆囊切除术治疗轻症ABP,能够在保证效果、安全性前提下,缩短患者住院时间,降低医疗费用。
Objective:To analyze the efficacy of different timing for cholecystectomy after percutaneous transhepatic gallbladder drainage(PTGD)in treating mild acute biliary pancreatitis(ABP).Method:A retrospective study was conducted on 91 patients with mild ABP admitted to the hospital.Based on the timing of cholecystectomy after PTGD,the patients were divided into Group A(46 cases)and Group B(45 cases).Group A underwent surgery 34 weeks after PTGD,while Group B underwent surgery 5-6 weeks after PTGD.Data were collected and compared for surgical and recovery-related indicators,postoperative complication rates,total hospitalization duration,and costs.The recurrence rate at 6-month follow-up was recorded.Result:No statistically significant differences were found in surgical and recovery-related indicators or postoperative complication rates between the two groups(P>O.05).The hospitalization duration in Group A was shorter than that in Group B,and the total hospitalization cost was lower in Group A(P<0.05).No statistically significant difference was observed in the recurrence rate at 6-month follow-up between the two groups(P>0.05).Conclusion:Performing cholecystectomy 34 weeks after PTGD for mild ABP can shorten hospitalization duration and reduce medical costs while ensuring efficacy and safety.
作者
常鹏
徐海宾
CHANG Peng;XU Hai-bin(Taicang First People's Hospital,Suzhou 215400,Jiangsu)
出处
《安徽医专学报》
2026年第1期35-37,41,共4页
Journal of Anhui Medical College
基金
太仓市科技计划项目(编号:TC2024JCYL23)。
关键词
急性胆源性胰腺炎
经皮经肝胆囊穿刺引流术
胆囊切除术
手术时机
acute biliary pancreatitis
percutaneous transhepatic gallbladder puncture drainage surgery
cholecystectomy
surgical timing
