研究超声引导下经皮肝胆囊穿刺置管引流术治疗急性重症胆囊炎的临床疗效

The Clinical Effect of Ultrasound Guided Percutaneous Transhepatic Gallbladder Drainage and Drainage in The Treatment of Acute Severe Cholecystitis

目的:探究超声引导下经皮肝胆囊穿刺置管引流术治疗急性重症胆囊炎的临床疗效。方法 :选取本院于2014年6月—2017年6月156例急性重症胆囊炎患者作为研究对象,采用盲选的方式分为参照组和研究组,每组78例。参照组患者进行保守治疗,研究组患者进行经皮肝胆囊穿刺置管引流术治疗。观察两组患者的疗效。结果:(1)两组住院时间及总有效率对比:研究组的住院时间明显短于参照组;其总有效率明显比参照组的高,两组对比有明显差异(P<0.05),差异有统计学意义;(2)两组并发症发生情况对比:研究组的并发症总发生率(3.85%)明显低于参照组(14.10%),对比有明显差异(P<0.05),差异有统计学意义。结论:超声引导下经皮肝胆囊穿刺置管引流术治疗急性重症胆囊炎,可有效减少并发症发生情况,其效果明显,值得应用。

Objective To investigate the clinical efficacy of percutaneous transhepatic gallbladder drainage for the treatment of acute cholecystitis guided by ultrasound. Methods A total of 156 patients with acute cholecystitis in our hospital from June 2014 to June 2017 were selected as the research objects and divided into the reference group and the study group by blind selection, 78 cases in each group. Patients in the reference group were treated with cholecystostomy. Patients in the study group were treated with percutaneous transhepatic gallbladder catheterization and drainage. Observed the efficacy of two groups of patients. Results(1)Comparison of hospitalization time and total effective rate between the two groups: The study group's hospitalization time was significantly shorter than the reference group; its total effective rate was significantly higher than the reference group, there was significant difference between the two groups(P<0.05) Statistical significance;(2) comparisons of complications between the two groups: the total complication rate(3.85%) in the study group was significantly lower than that in the reference group(14.10%), the difference was significant(P<0.05) Significance. Conclusion Ultrasound-guided percutaneous drainage of the gallbladder drainage tube for the treatment of acute cholecystitis, which can effectively reduce the incidence of complications, the effect is obvious, it is worth promoting the application.