经皮肝穿刺胆囊置管引流治疗急性化脓性胆囊炎(附九例报告)

Percutaneous Trashepatic Drainage of Gallbladder for Acute Suppurative Cholecystitis——A Report of 9 Cases

采用经皮肝穿刺胆囊置管引流术治疗急性化脓性胆囊炎9例,其中3例进行了灌注溶石治疗。结果:术后24 h,全组病例临床症状缓解,3例危重患者休克基本纠正;引流术后72 h,全部病例临床症状基本消失。3例溶石患者中2例胆石消失,1例结石变小。对其临床意义及穿刺、置管的技术问题进行了讨论。

Nine patients suffering from acute suppurative cholecystitis were treated by drainage of gallblad- der with percutaneous trashepatic catheter.Among them,3 patients were accompaied with litholytic therapy.The results showed that clinical symptoms and signs were alleviated in all cases and shock was checked in 3 critical patients in 24 h,and clinical manifestations clisapeared in 72 h.In the 3 patients treated with litholytic therapy,the stones disappeared in 2 and became smaller in 1 patient.The clinical significance and technical problems of percutaneous transpepatic puncture and catheterization have been discussed