彩色多普勒超声引导下经皮经肝胆囊穿刺引流术治疗高危急性胆囊炎  

Percutaneous transhepaticgallbladder drainage Guided by Color Doppler ultrasound for Acute Choleeystitis in High-Risk Patients

作　　者：黄韬[1] 陆立平[1] 

机构地区：[1]上海市徐汇区中心医院普外科,上海200031

出　　处：《世界感染杂志》2010年第3期129-131,共3页World Journal of Infection

摘　　要：目的探讨彩色多普勒超声定位经皮肝胆囊穿刺引流术（percutaneous transhepatic gallbladder drainage，PTGD）对高龄急性胆囊炎患者的疗效。方法分析2009年3月至2009年8月我们以彩色多普勒超声定位经皮肝胆囊穿刺引流治疗的35例高危急性胆囊炎患者的临床资料，入院前合并各种疾病者33例（94．3％）。结果35例全部成功施行穿刺引流（100％），无出血、胆瘘等并发症发生。35例治愈出院（100％），无死亡病例。21例（68．6％）3mo后行腹腔镜胆囊切除，术后患者恢复好。结论彩色多普勒超声定位经皮肝胆囊穿刺引流可迅速缓解高龄患者急性胆囊炎引起的危急症状，避免急诊开腹手术带来的风险，具有微创、方便、安全等优势，明显降低病死率，值得推广。Objective To investigate the therapeutic efficacy of Percutaneous transhepatic gallbladder drainage （PTGD） under Color Doppler ultrasound for high-risk patients with acute cholecystitis. Methods The clinicaldata of 35 patients with acute cholecystitis receiving Percutaneous transhepatic gallbladder drainage （PTGD） from Mar 2009 to Aug 2009 were analyzed retrospectively. Among them, 33 patients （94.3%） were complicated with various chronic diseases. Results Color Doppler ultrasound guided Percutaneous transhepatic gallbladder drainage （PTGD） was performed successfully in all patients, and no complication was found. 35 patients were cured and no patient died. 24 patients （68,6%） received laparoscopic cholecystectomy after 3 months of discharge. Conclusions Color Doppler ialtrasound guided Percutaneous transhepatic gallbladder drainage （PTGD） can promptly relieve severe symptoms for patients with acute cholecystitis and avoid the risks of emergency operation, which has the advantages of less injury, simple manipulation, safety and lower mortality.

关 键 词：急性胆囊炎 彩色多普勒超声 经皮肝胆囊穿刺引流 

分 类 号：R657.41[医药卫生—外科学]