经皮经肝胆囊穿刺引流术治疗急性化脓性胆囊炎的临床观察

Clinical observation on PTGBD in treatment of acute suppurative cholecystitis

目的观察PTGBD治疗急性化脓性胆囊炎的临床效果。方法黑龙江省医院附属消化病医院2008年1月—2011年10月应用PTGBD治疗急性化脓性胆囊炎29例,总结分析手术方法及经验。结果 29例患者均经一次穿刺置管成功。术后29例患者的临床症状如右上腹胀痛发热等均得以缓解,无感染、出血、胆漏等其他并发症发生,少部分患者术后有一过性的疼痛、恶心、上腹部不适,经对症治疗后缓解。20例患者在住院期间拔管,拔管时症状体征完全消失。平均住院11.2(s=3.2,16～30)d。结论 PTGBD治疗急性化脓性胆囊炎效果显着,治疗方法简单,安全可行,值得推广和应用。

Objective To evaluate the clinical effect of percutaneous transhepatic gallbladder drainage（PTGBD） in the treatment of acute suppurative cholecystitis.Methods A total of 29 cases of acute suppurative cholecystitis were treated with PTGBD from 2008.01 to 2011.10,and the surgical methods and experience were analyzed.Results All the 29 patients were successful after the first catheterization and their symptoms,such as fever,right upper quadrant pain,etc.alleviated,and no infection,bleeding,bile leakage and other complications occurred.A small number of patients had a transient pain,nausea,and abdominal discomfort and these symptoms relieved after the symptomatic treatment.Twenty patients had the extubation during the hospital period and their symptoms and signs completely disappeared,and they were in hospital for 16 to 30 days [（11.2 ± 3.2） days].Conclusions PTGBD is effective,simple and safe in the treatment of acute suppurative cholecystitis.