中国实用外科杂志2013，Vol.33Issue(2)：140-142,3.
超声引导下经皮经肝胆囊引流治疗急性胰腺炎合并急性胆囊炎51例分析
Percutaneous transhepatic gallbladder drainage to treat acute pancreatitis complicated with acute cholecystitis guided by ultrasound: a report of 51 cases
李刚 1童智慧 1邹磊 1王思珍 1李维勤 1李宁 1黎介寿1
作者信息
- 1. 南京大学医学院临床学院 南京军区南京总医院普通外科研究所,江苏南京210002
- 折叠
摘要
Abstract
Objective To evaluate the safety and efficacy of percutaneous transhepatic gallbladder drainage (PTGD) guided by ultrasound in the treatment of acute pancreatitis complicated with acute cholecystitis. Methods The clinical data of 51 cases of acute pancreatitis complicated with acute cholecystitis performed PTGD from January 2009 to May 2012 in Nanjing General Hospital of Nanjing Military Command were analyzed retrospectively. Results All the cases were performed PTGD successfully without serious complications in the first try. In 72.5% of cases, the symptoms and signs were relieved after PTGD. The white blood cell count and the percentage of neutrophils were decreased obviously on the 1st day and 7th day after drainage. The incidence of high bilirubin (≥34.2μmol/L) and APACHE FJ scores were declined significantly on the 3rd day after drainage. One case died of sepsis shock, and others were cured. In all cases, the catheters were removed in 1 month while no biliary obstruction was certified in gallbladder radiography. Conclusion PTGD is a simple, safe and effective treatment, which can make improvement of prognosis in acute pancreatitis complicated with acute cholecystitis.关键词
急性胰腺炎/急性胆囊炎/经皮经肝胆囊穿刺置管引流术Key words
acute pancreatitis/ acute cholecystitis/ percutaneous transhepatic gallbladder drainage分类
医药卫生引用本文复制引用
李刚,童智慧,邹磊,王思珍,李维勤,李宁,黎介寿..超声引导下经皮经肝胆囊引流治疗急性胰腺炎合并急性胆囊炎51例分析[J].中国实用外科杂志,2013,33(2):140-142,3.
