B超引导下经皮胆囊造瘘治疗老年急性胆囊炎92例  

Percutaneous cholecystostomy by type-B ultrasound guidance for acute cholecystitis in 92 elderly patients

作　　者：谢炜[1] 杨德忠[1] 舒志松[2] 赵劲松 

机构地区：[1]重庆市中山医院普通外科,400013 [2]重庆市中山医院超声室,400013 [3]重庆市奉节县中医院,404600

出　　处：《重庆医学》2007年第17期1754-1754,1783,共2页Chongqing medicine

摘　　要：目的探讨超声引导下胆囊穿刺置管引流治疗急性胆囊的临床疗效。方法B超胆囊定位后，采用F8导管针穿刺，经肝路径或者经腹腔路径。结果92例患者穿刺置管成功，经引流1～5d，药物冲洗1周，患者胆囊炎症控制。2例出现胆囊出血，全身及局部药物止血治疗治愈。1例出现胆汁性腹膜炎，B超引导下穿刺引流治愈。5例出现导管脱出，因胆囊炎症控制，未再行置管。结论B超引导下经皮胆囊造瘘是治疗老年急性胆囊炎的一种安全、简单、有效的治疗方法。Objective To investigate the cLinicaL value of ultrasound guided percutaneous cholecystostomy for the treatment of aute cholecystitis in eLderLy patients. Methods The catheter F8 was insterted by percutaneous transhepatic or transabdominal pathway under ultrasound guidance. Results Successful catheter insertation was achieved in 92 patients,and cholecystitis was controLLed after drainage for 1- 5d and taking a douche for one week. Compiicatons included cholecystic bleeding that was controLLed by drugs in 2 patients and biliary peritonitis in 1 patient that was cured by drainage under ultrasound guidance. There aLso had dislodgment of the catheter in 5 patients that was not reinserted because of inflammation subsidence. Conclusion ULtrasound-guided percutaneous cholecystostomy is a safe, convenient and effective procedure for acute cholecystitis in eLderLy patients.

关 键 词：急性胆囊炎 B超引导 造瘘 

分 类 号：R657.4[医药卫生—外科学]