经皮穿刺胆囊引流治疗急性重症胆囊炎的临床疗效

doi:10.3877/cma.j.issn.2095-5782.2016.03.009

中华介入放射学电子杂志 ›› 2016, Vol. 04 ›› Issue (03) : 162 -165. doi: 10.3877/cma.j.issn.2095-5782.2016.03.009

所属专题：文献；

非血管介入

经皮穿刺胆囊引流治疗急性重症胆囊炎的临床疗效

郭欢庆¹, 李威¹, 邹常咏¹, 满文玲¹, 杨坡¹^,^†(

)

^1. 150001　哈尔滨医科大学附属第四医院介入科

收稿日期:2016-07-13 出版日期:2016-08-01
通信作者: 杨坡

Clinical effect of percutaneous gallbladder drainage in the treatment of acute severe cholecystitis

Huanqing Guo¹, Wei Li¹, Changyong Zou¹, Wenling Man¹, Po Yang¹^,^†()

^1. Department of Intervention, the Affiliated Fourth Hospital of Harbin Medical University, Harbin 150001, China

Received:2016-07-13 Published:2016-08-01
Corresponding author: Po Yang
About author:
Corresponding author: Yang Po, Email: 13704810561@163.com

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目的：

探讨CT引导下经皮穿刺胆囊引流术治疗急性重症胆囊炎的临床疗效。

方法：

于2014年月—2016年6月，对我院22例急性重症胆囊炎患者行经皮穿刺胆囊引流术，其中19例经皮经肝穿刺引流，3例经腹腔穿刺引流。

结果：

所有22例患者均一次性完成穿刺引流，技术成功率100%。21例患者术后72 h内患者的腹痛、腹胀、高热等症状明显缓解，血常规检查中白细胞及中性粒细胞计数10 d内恢复正常。1例患者合并重症肺炎术后第2天死亡。14例患者术后3～6周拔管，7例患者长期带管生存。

结论：

CT引导下经皮穿刺胆囊引流治疗急性重症胆囊炎操作简单、创伤小、安全有效，值得临床推广应用。

关键词: 急性胆囊炎, 胆囊穿刺, 胆囊切除

Objective:

To investigate the clinical effect of CT-guided percutaneous gallbladder drainage in the treatment of acute severe cholecystitis.

Methods:

Percutaneous gallbladder drainage was performed in 22 patients with acute severe cholecystitis. Among them, 19 underwent percutaneous gallbladder drainage via transhepatic way, and the other three via transperitoneal way.

Results:

The one-time percutaneous gallbladder drainage was successfully accomplished in all 22 patients, with 100% success rate. Abdominal pain, fever and other symptoms were relived within 72 hours after the procedure in 21 patients, and their routine blood examination within 10 days, including white blood cell and neutrophil counts, resumed normal. One patient complicated with severe pneumonia died the next day after the procedure. The drainage-tube was extracted from 14 patients between 3~6 weeks after the operation. The remaining 7 patients were living with long-term retention of the drainage-tube.

Conclusions:

CT-guided percutaneous gallbladder drainage for acute severe cholecystitis is simple, minimally invasive, safe and effective, worthy of clinical application.

Key words: Acute cholecystitis, Puncture gallbladder, Cholecystectomy

图1 急性化脓性胆囊炎经皮穿刺引流一例术前术后CT表现

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Clinical effect of percutaneous gallbladder drainage in the treatment of acute severe cholecystitis

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Clinical effect of percutaneous gallbladder drainage in the treatment of acute severe cholecystitis