中国现代手术学杂志2017，Vol.21Issue(6)：416-418,3.DOI:10.16260/j.cnki.1009-2188.2017.06.005
PTGD治疗老年急性胆囊炎105例
Treatment of Percutaneous Transhepatic Gallbladder Drainage for High-Risk Acute Cholecystitis in the Aged Patients
牟泳霖 1张筠 1曹军英 1里子彧 1于馨 1高越1
作者信息
摘要
Abstract
Objective To evaluate the value of percutaneous transhepatic gallbladder drainage(PTGD)for aged acute cholecystitis patients.Methods The clinical data of 105 acute cholecystitis cases,aged from 65 to 89,performed PTGD during January 2014 to December 2015 were analyzed retrospectively.The size of gallbladder was more than 8 cm × 4 cm in all cases.Results Of 105 cases,there were 104 cases (99.05％) accomplished PTGD successfully.Emergency operation was performed in 1 patient failed intubation.There were no deaths in the whole group.Compared to preoperative level,the leukocyte count,total bilirubin and alanine aminotransferase enzyme were improved (P ＜0.05),and the incidence rate of abdominal pain,fever and jaundice 24 hours after the operation were reduced (P ＜ 0.05).The intubation time of COOK drainage tube was 28 to 35 days without cannula exodus.Selective laparoscopic cholecystectomy was carried out in 74 cases after PTGD,but one case conversed to open surgery.Conclusions For elderly patients with acute cholecystitis complicated with central pulmonary dysfunction and other diseases,emergency surgery has a high risk.PTGD can effectively relieve the clinical symptoms,control the infection and cure noncalculous cholecystitis,it is simple and safe for aged cases especially for cholecystemy-intolerance aged cases.关键词
经皮经肝胆囊穿刺置管引流术/胆囊炎,急性/超声检查/老年人Key words
percutaneous transhepatic gallbladder drainage/cholecystitis, acute/ultrasonography/aged分类
医药卫生引用本文复制引用
牟泳霖,张筠,曹军英,里子彧,于馨,高越..PTGD治疗老年急性胆囊炎105例[J].中国现代手术学杂志,2017,21(6):416-418,3.
