经皮经肝胆囊穿刺置管致腹膜后脓肿1例  

A case report of retroperitoneal abscess caused by percutaneous transhepatic gallbladder drainage and catheterization

作　　者：张文杰 武珊珊 聂向阳 ZHANG Wen-jie;WU Shan-shan;NIE Xiang-yang(Department of Hepatobiliary Hernia Surgery,Hexian Memorial Hospital of Panyu District of Guangzhou City,Guangdong Province,Guangzhou 510000,China;Department of Pharmacy,Hexian Memorial Hospital of Panyu District of Guangzhou City,Guangdong Province,Guangzhou 510000,China)

机构地区：[1]广州市番禺区何贤纪念医院肝胆疝外科,广东广州510000 [2]广州市番禺区何贤纪念医院药剂科,广东广州510000

出　　处：《中国当代医药》2021年第31期197-199,共3页China Modern Medicine

摘　　要：经皮经肝胆囊引流术(PTGBD)是临床工作中应用广泛的一项手术,通常应用在急性重症胆囊炎患者和高龄急性胆囊炎患者中,帮助其顺利度过炎症期,待生命体征稳定后寻求手术机会,有助于缩短腹腔镜胆囊切除术的手术操作时间以及术中出血量。此外,该手术本身也具有成功率高、操作简便、创伤小的优势。然而,目前临床医生在实际临床工作中对PTGBD术的应用并不规范,在PTGBD术后留置引流管进行引流的时间尚未形成统一,且术后相关并发症报道较少,对PTGBD术的安全性认识不足。因此在进行PTGBD术后能否提高患者愈后质量使患者获益存在一定争议。现报道1例广州市番禺区何贤纪念医院PTGBD术置管致腹膜后脓肿的病例并结合相关文献讨论总结经验,以期为临床治疗提供参考。Percutaneous transhepatic gallbladder drainage(PTGBD)is a widely used surgery in clinical work.It is usually used in patients with acute severe cholecystitis and elderly patients with acute cholecystitis to help them pass the inflammatory period smoothly.After the vital signs are stabilized,seeking surgical opportunities can help shorten the operation time and intraoperative blood loss of laparoscopic cholecystectomy.In addition,the operation itself also has the advantages of high success rate,simple operation,and less trauma.However,currently clinicians are not standardizing the application of PTGBD in actual clinical work.The time of indwelling drainage tube for drainage after PTGBD has not yet formed a uniform,and there are few reports of postoperative complications,which is a safety issue for PTGBD.Insufficient understanding.Therefore,it is controversial whether to improve the quality of the patient's recovery and benefit the patients after PTGBD.A case of retroperitoneal abscess caused by PTGBD catheterization in Hexian Memorial Hospital of Panyu District of Guangzhou City is now reported,combined with relevant literature discussion and experience,in order to provide reference for clinical treatment.

关 键 词：急性胆囊炎 胆囊穿刺引流 腹腔镜胆囊切除 手术后并发症 

分 类 号：R575.6[医药卫生—消化系统]