老年高危急性胆囊炎经皮经肝胆囊穿刺置管引流的效果观察

The effect observation of elderly high-risk acute cholecystitis given percutaneous transhepatic gallbladder drainage

目的观察高危急性胆囊炎老年患者行经皮经肝胆囊穿刺置管引流治疗的效果。方法选取我院2010年2月~2016年2月收治的62例高危急性胆囊炎老年患者临床资料进行分析,按照临床所用不同治疗方案分成两组,行腹腔镜或者开腹胆囊切除术医治31例患者作为对照组,行经皮经肝胆囊穿刺置管引流医治31例患者作为观察组,对两组症状改善、并发症及生活质量情况进行对比。结果观察组发热、腹痛与寒战症状缓解时间均比对照组短,且总并发症发生率3.23%比对照组25.81%低,差异具有统计学意义(P<0.05);观察组于两组医治后生活质量各项评分均改善基础上,其改善幅度均比对照组显著,差异具有统计学意义(P<0.05)。结论高危急性胆囊炎老年患者行经皮经肝胆囊穿刺置管引流治疗能够改善临床症状,减少术后并发症发生,且提高患者生活质量,具有临床推广及应用价值。

Objective To observe the effect of the elderly patients with high-risk acute cholecystitis given percutaneous transhepatic gallbladder drainage.Methods Selected62elderly high-risk acute cholecystitis patients as clinical data in our hospital from Feb2010to Feb2016,and divided them into two groups according to the different treatment options,the patients accepted laparoscopic or open cholecystectomy surgical treatment as control group(31patients),the patients accepted percutaneous transhepatic gallbladder drainage treatment as observation group(31patients),compared the symptoms,complications and quality life conditions between the two groups.Results The fever,chills,abdominal pain and symptom relief time of the observation group was shorter than the control group,and the total complication rate observertion group(3.23%)of was lower than the control group(25.81%),the difference was statistically significant(P<0.05);the scores of life quality of the observation group after treatment was improved,based on their magnitude of improvement better than the control group,the difference was statistically significant(P<0.05).Conclusion The elderly patients with high-risk acute cholecystitis underwent percutaneous transhepatic gallbladder drainage therapy can improve the clinical symptoms and reduce postoperative complications,and improve the patients'quality life,which is worthy of promotion.