胆囊穿刺置管引流治疗高危胆道疾患  

Gallbladder catheterizing drainage for acute billiary duct disease in high - risk patients

作　　者：刘建生[1] 马艳波[1] 祝庆华[2] 

机构地区：[1]山西医科大学第一医院普外科,太原030001 [2]山西医科大学第二医院普外科

出　　处：《中原医刊》2007年第14期12-13,共2页Central Plains Medical Journal

摘　　要：目的总结胆囊穿刺置管引流治疗高危胆道疾病患者的经验。方法回顾性分析60例高危胆道疾病患者接受胆囊穿刺引流治疗的，临床资料。结果胆囊穿刺置管引流后24-72h，临床症状迅速缓解，41例后期行择期胆囊切除，13例经导管行接触性溶石治疗。3例导管脱落，其中1例置管后4d脱落，致局限性胆汁性腹膜炎，急诊行胆囊切除，另2例置管后2周脱落，无任何不适。全组无死亡及气胸、出血、结肠损伤。结论胆囊穿刺置管引流治疗高危胆道疾病患者安全、迅速、有效。Objective To summarize the therapeutic experience of high- risk patients with acute billiary duct diseases by gallbladder catheterizing drainage （GCD）. Methods Sixty high - risk patients who had undergone GCD were analysed retrospectively. Results All patients had rapid relief of clinical symptoms within 24 - 72 hours after GCD. Elective cholecystectomy was performed at a later stage in 41 cases. Thirteen cases were treated with contacting gallstone dissolution with MTBE and DMSO. In 3 cases, the catheter became dislodged within 4 day or 2 weeks after GCD,local bile peritonitis occurred in 1 case. There was no serious complicatiopn or mortality. Conclusion GCD is a low - riks, fast, effective procedure for treatment of poor surgical risk patients with acute billiary duct disease.

关 键 词：胆道 急性 高危患者 引流术 

分 类 号：R657[医药卫生—外科学]