经皮胆囊造瘘术治疗急性胆囊炎的研究进展  

Research advances in percutaneous cholecystostomy in treatment of acute cholecystitis

作　　者：韩景钊 脱红芳[2] 王泽普[2] 彭彦辉[2] HAN Jingzhao;TUO Hongfang;WANG Zepu;PENG Yanhui(Graduate School of Hebei Medical University,Shijiazhuang 050000,China;Department of Hepatobiliary Surgery,Hebei General Hospital,Shijiazhuang 050051,China)

机构地区：[1]河北医科大学研究生院,石家庄050000 [2]河北省人民医院肝胆外科,石家庄050051

出　　处：《临床肝胆病杂志》2021年第8期1983-1987,共5页Journal of Clinical Hepatology

基　　金：河北省2016年政府资助临床医学优秀人才培养和基础课题研究项目(361003)。

摘　　要：急性胆囊炎是肝胆外科常见急腹症,腹腔镜胆囊切除术是其首选治疗方式。对不适合手术治疗的胆囊炎患者,经皮胆囊造瘘引流起着至关重要的作用。该技术具有良好安全性,可用作通向择期手术的桥梁或部分高危患者的最终治疗。但是,目前各单位对该技术管理经验不同。因此,综述了经皮胆囊造瘘术在适应证、治疗时机和管理方面研究进展,为临床规范使用提供依据。Acute cholecystitis is a common acute abdominal disease in hepatobiliary surgery,and laparoscopic cholecystectomy is the preferred treatment method for this disease.Percutaneous cholecystostomy for drainage plays a vital role in management of patients with cholecystitis who are unsuitable for surgery.This technique has good safety and can be used as a bridge to elective cholecystectomy or as a final treatment for some high-risk patients.However at present,the experience in the management of this technique varies across institutions.Therefore,this article reviews the research advances in percutaneous cholecystostomy in terms of indication,treatment timing,and management,so as to provide a basis for standard clinical use.

关 键 词：胆囊炎 急性 经皮胆囊造瘘术 腹腔镜 

分 类 号：R575.61[医药卫生—消化系统]