超声引导下经皮胆囊穿刺引流术治疗急性重症胆管炎31例临床分析  

Ultrasound-guided percutaneous cholecystostomy for acute cholangitis of severe type:an analysis of 31 cases

作　　者：何天时[1] 李旭宏[2] 薛浩[1] 严骏[1] 李祥[1] 颜朗[1] 

机构地区：[1]重庆三峡中心医院肝胆外科,404000 [2]重庆三峡中心医院百安分院外科

出　　处：《临床外科杂志》2015年第6期437-439,共3页Journal of Clinical Surgery

摘　　要：目的：探讨超声引导下经皮胆囊穿刺引流术治疗急性重症胆管炎的临床疗效和应用价值。方法对31例急性重症胆管炎患者治疗采用超声引导下经皮胆囊穿刺引流术。结果超声引导下经皮胆囊穿刺引流成功率为100％，无出血、胆漏及副损伤等相关并发症。术后1例死于多器官衰竭，另外30例临床症状快速缓解、全身情况显著改善。术后2～6周，根据患者的情况分别施行不同的二期手术，术后均康复出院。结论经皮胆囊穿刺引流术具有操作简便、微创、安全等优点，适用于伴有胆囊肿大的急性重症胆管炎患者的过渡性治疗，为二期手术治疗创造良好的条件。Objective To evaluate the effect and value of ultrasound-guided percutaneous chole-cystostomy in the treatment of acute cholangitis of severe type（ACST）.Method A total of 31 cases of ACST were treated by ultrasound-guided percutaneous cholecystostomy.Results The success rate of this operation was 1 00%,without complications such as bleeding,bile leakage and vice-damage.One patient died of multiple organ failure postoperatively.The clinical symptoms of other 30 cases were relieved quick-ly and the general condition improved significantly after this operation.The two-stage operation was per-formed within 2 ~6 weeks after percutaneous cholecystostomy and all patients recovered well enough to be released.Conclusion Ultrasound-guided percutaneous cholecystostomy is a simple,minimally invasive, and safe operation.It can be used as transitional treatment for ACST patient with gallbladder enlargement, which creates good conditions for the two-stage operation.

关 键 词：经皮胆囊穿刺引流术 急性重症胆管炎 胆漏 

分 类 号：R657.4[医药卫生—外科学]