老年人急性胆囊炎不同治疗方法的效果比较  

The Contrast of Different Treatments for Acute Cholecystitis in Elderly Patients

作　　者：冀振华[1] 邱宝安[1] 白钢[1] 白宏伟[1] 夏念信[1] 杨英祥[1] 张志成[1] 马元桂[1] 

机构地区：[1]海军总医院肝胆外科,北京100037

出　　处：《海军总医院学报》2003年第2期84-85,共2页Journal of Naval General Hospital of PLA

摘　　要：目的 探讨老年人急性胆囊炎的最佳治疗方法。方法 回顾性分析2000年3月～2002年2月期间接受胆囊切除术18例,胆囊造瘘术8例,经皮经肝胆囊穿刺置管引流术12例,治疗的38例老年急性胆囊炎病人的临床资料。结果 胆囊切除术,胆囊造瘘术的并发症率和死亡率分别为38.9％、12.5％和11.1％、12.5％;经皮经肝胆囊穿刺置管引流术的并发症率和死亡率均为0。结论 经皮经肝胆囊穿刺置管引流术是治疗老年人急性胆囊炎的简便、有效而安全的方法。Objective To find the best treatment for acute cholecystitis in elderly patients. Methods We reviewed 38 consecutive cases of acute cholecystitis in elderly patients treated in our hospital from Mar. 2000 to Feb. 2002.18 cases were treated by cholecystectomy, 8 cases were treated by chole-cystotomy and 12 cases were treated by percutaneous transhepatic gallbladder catheterized drainage (PT-GCD). Results The morbidity of cholecystectomy and cholecystotomy separately is 38.9% and 12.5% . the mortality is 11.1% and 12.5% . The morbidity and mortality of PTGCD are 0. Conclusion PTGCD is a simple, safe and effective treatment for acute cholecystitis in elderly patients.

关 键 词：胆囊炎 急性 治疗 

分 类 号：R657.41[医药卫生—外科学]