超声引导下经皮经肝胆囊穿刺置管引流术在治疗老年急性胆囊炎的临床价值  

Clinical Value of Ultrasound-guided Percutaneous Transhepatic Gallbladder Drainage in the Treatment of Elderly Patients with Acute Cholecystitis

作　　者：吴晓曼 WU Xiaoman(Department of Ultrasound,Taicang Hospital Affiliated to Soochow University,Taicang 215400,Jiangsu,China)

机构地区：[1]苏州大学附属太仓医院超声科,江苏太仓215400

出　　处：《世界复合医学（中英文）》2024年第7期83-86,共4页World Journal of Complex Medicine

摘　　要：目的探究超声引导下经皮经肝胆囊穿刺置管引流术(percutaneous transhepatic gallblad⁃der drainage,PTGD)治疗老年急性胆囊炎患者的疗效。方法选取2022年1月—2023年10月苏州大学附属太仓医院收治的166例老年急性胆囊炎患者为研究对象,根据治疗方法不同分为PTGD组(n=87)和对照组(n=79)。对照组行常规抗感染治疗+胆囊切除术组,PTGD组行常规抗感染治疗+PTGD治疗。比较两组治疗前后的相关临床指标[白细胞计数(white blood cell,WBC)、降钙素原(procalcito⁃nin,PCT)、C反应蛋白(C-reactive protein,CRP)、淀粉酶(amylase,AMS)、总胆红素(total Bilirubin,TBil)、谷丙转氨酶(glutamic pyruvic transaminase,ALT)]及并发症发生情况。结果PTGD组WBC、PCT、CRP、AMS、TBil、ALT水平均低于对照组,差异有统计学意义(P均<0.05)。PTGD组并发症发生率为3.45%(3/87),低于对照组的12.66%(10/79),差异有统计学意义(χ^(2)=4.866,P=0.027)。结论PTGD治疗能够改善老年急性胆囊炎患者的术后相关指标,且并发症发生率较低,安全性较高,具有临床应用价值。Objective To explore the efficacy of percutaneous transhepatic gallbladder drainage(PTGD)under ultrasound-guided in the treatment of elderly patients with acute cholecystitis.Methods A total of 166 elderly patients with acute cholecystitis admitted to Taicang Hospital Affiliated to Soochow University from January 2022 to October 2023 were selected as the research objects.According to different treatment methods,they were divided into PTGD group and control group,with 79 cases in each group.The control group received routine anti-infection treatment+cholecystectomy group,and the PTGD group received routine anti-infection treatment+PTGD treatment.The related clinical indicators[white blood cell(WBC),procalcitonin(PCT),C-reactive protein(CRP),amylase(AMS),total bilirubin(TBil),glutamic pyruvic transaminase(ALT)]and complications were compared between the two groups before and after treatment.Results The levels of WBC、PCT、CRP、AMS、TBil、ALT in the PTGD group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the PTGD group was 3.45%(3/87),which was lower than 12.66%(10/79)in the control group,and the difference was statistically significant(χ^(2)=4.866,P=0.027).Conclusion PTGD treatment can improve the postoperative related indexes of elderly patients with acute cholecystitis,with low incidence of complications and high safety,which has clinical application value.

关 键 词：老年急性胆囊炎 并发症发生率 超声引导下经皮经肝胆囊穿刺置管引流术 

分 类 号：R575[医药卫生—消化系统]