经皮经肝胆囊穿刺引流术在胆囊炎急性发作治疗中的应用现状

Current status of application of percutaneous transhepatic gallbladder puncture and drainage in treatment of cholecystitis in acute stage

B超引导下经皮经肝胆囊穿刺引流术(PTGBD)逐步成为胆囊炎急性水肿期首选的治疗措施。随着手术器械不断更新及医生操作熟练度的提高,PTGBD技术也不断在发展。目前,PTGBD的文献报道大部分仅限于老年急性胆囊炎患者,但是关于其具体优点、适应证及二期手术胆囊切除术时机方面值得探究,笔者就上述3点做一综述,以供临床参考。

B ultrasound-guided percutaneous transhepatic gallbladder drainage （PTGBD） has gradually become the first choice for treatment of acute edematous cholecystitis. The PTGBD technique has been developed with the continued improvement of the surgical instruments and surgeons＇ proficiency. At present, the reported literature concerning PTGBD is mostly limited to acute cholecystitis in elderly patients, but no systematic reports are available on its specific advantages, indications and timing for subsequent cholecystectomy. In this article, the authors address the above three aspects to provide indications for clinical practice.