超声引导徒手经皮经肝胆囊穿刺引流术在危重胆囊炎中的应用  

Application of bedside ordinary-probe-guided free-hand percutaneous transhepatic gallbladder drainage in the treatment of severe cholecystitis

作　　者：陈阳[1] 鲍世韵[1] 余小舫[1] 

机构地区：[1]暨南大学第二临床医学院,深圳市人民医院肝胆胰外科,518020

出　　处：《实用医学杂志》2015年第11期1818-1820,共3页The Journal of Practical Medicine

基　　金：2014年深圳市科技计划项目(编号:JCYJ20140416122811955)

摘　　要：目的:总结床边普通超声探头引导徒手经皮经肝胆囊穿刺引流术在危重胆囊炎患者中的应用经验。方法:回顾分析85例实施该术式的患者资料。结果:所有患者均穿刺置管成功并持续引出多量胆汁,无严重并发症。83例取得满意疗效,2例高龄患者死于重症感染继发的多器官功能障碍综合征(MODS)。结论:床边普通超声探头引导徒手经皮经肝胆囊穿刺引流术具有方便、安全、高效、微创等优点,可单人操作且设备条件要求不高,能为危重胆囊炎患者创造二期手术条件,值得推广普及。Objective To evaluate the clinical effectiveness of percutaneous transhepatic gallbladder drainage introduced by bedside ordinary-probe-guidance with free-hand technique in severe cholecystitis. Methods 85 cases treated with the operation were observed and analyzed. Results Infectious bile was successfully drained in all cases without serious complications. 83 cases received satisfactory outcomes. 2 elderly patients died from MODS secondary severe infection. Conclusion Bedside ordinary-probe-guided free-hand percutaneous transhepatic gallbladder drainage is a safe and convenient treatment with minimal invasion for severe cholecystitis, which can be widely used in clinic.

关 键 词：胆囊炎 超声引导 徒手穿刺 经皮穿刺置管引流 

分 类 号：R657.4[医药卫生—外科学]