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B超引导下经皮经肝胆囊穿刺引流治疗急性重症胆囊炎 被引量:3

PERCUTANEOUS CHOLECYSTOSTOMY GUIDED BY ULTRASOUND FOR ACUTE CHOLECYSTITS IN HIGH-RISK PATIENTS.
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摘要 目的 评价  B超引导下经皮经肝胆囊穿刺引流治疗急性重症胆囊炎的作用。方法  32例重症胆囊炎的接受了在局部麻醉下经皮经肝穿刺胆囊置管引流 ,穿刺针及导管由日本八光公司生产。结果 无 1例产生并发症 ,均穿刺置管成功。症状及体征均在 2 4~ 4 8小时内明显改善。结论  (Percutaneous cholecystostom y PC)是一种微创、有效、廉价、可靠的治疗急性重症胆囊炎的方法 ,它还可以用于肝脓肿 。 Objective To acess experience with percutaneous cholecystostomy(PC) in high risk patients with presumed acute cholecystits.Methods PC was performed under local anathesia guided by ultra-sonography .Results PC was performed successfully in all 32 patients,without immediate procedural or technical complications.Symptoms and clinical signs of cholecystits resolved within 24~48h in all patients.Conclusion PC is effective,minimally-invasive,treatment for the patient with acute cholecystitis.This way also can be used in hepatic absess,obstructive jaundice and necrosis pancreatitis caused by stone or tumor.
出处 《肝胆外科杂志》 2002年第4期280-281,共2页 Journal of Hepatobiliary Surgery
关键词 B超引导 经皮经肝胆囊穿刺 引流 治疗 急性重症胆囊炎 percutaneous cholecttostomy patients acute choleystitis
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参考文献6

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同被引文献21

  • 1陈焕伟,崔伟珍,王军华,甄作均.超声引导下经皮经肝胆囊/胆管置管引流术在肝胆系疾病中的临床应用[J].中国微创外科杂志,2005,5(4):292-294. 被引量:15
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  • 3Macri A, Scuderi G, Saladino E, et al. Acute gall stonechole cystitis in theelderly:treatment with emergency ultrasonographic percutaneous cholecystostomy and interval laparoscopic cholecystectomy [J]. SuYg Ettdosc, 2006, 20(1): 88-91.
  • 4Nikfarjam M, Shen L, Fink MA, et al. Percutaneous cholecystostomy for treatment of acute cholecystitis in the era of early laparoscopic cholecystectomy I J]. Surg Laparosc Endosc Percutan Tech, 2013, 23(5): 474-480.
  • 5A1-Jundi W, Cannon T, Antakia R, et al. Percutaneous cholecystostomy as an ahemative to cholecystectomy in high risk patients with biliary sepsis: a district general hospital experience [J]. 2012, 94(2): 99-101.
  • 6Byme MF, Suhocki P, Mitchell RM, et al. Percutaneous cholecystostomy in patients with acute cholecystitis : experience of 45 patients at a US referral center [ J ]. J Am Coll Surg, 2003, 197(2): 206-211.
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  • 8Nguyen KT, Kitisin K, Steel J, et al. Cirrhosis is not a contraindication to laparoscopic cholecystectomy: results and practical recommendations [J]. HPB (Oxford), 2011, 13 (3): 192-197.
  • 9Yuichi Yamashita, Tadahiro Takada, Yoshifumi Kawarada, et al. Sur- gieal treatment of patients with acute choleeystitis: Tokyo Guidelines [ J ]. J Hepatobiliary Pancreat Surg ,2007,14:91-97.
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