项灿宏, 周雷, 马仁等 (2007) 经皮经肝胆囊穿刺引流术和延期的腹腔镜胆囊切除术治疗老年急性胆囊炎. 中国微创外科杂志, 7, 452-453.
经皮经肝胆囊穿刺引流在肝胆微创外科的应用体会The Application of PTGBD in Department of Hepatobiliary Surgery
王勇, 陈杰, 李春生, 张箭平
急性胆囊炎, 胆囊结石, 经皮经肝胆囊穿刺引流(PTGBD)Acute Cholecystitis, Cholecystolithiasis, Percutaneous Transhepatic Gallbladder Drainage (PTGBD)
《Advances in Clinical Medicine》, Vol.5 No.1, 2015-03-26
目的：探讨经皮经肝胆囊穿刺治疗高龄患者的经验和体会。方法：2012年1月至2014年12月选择68例急性结石性胆囊高龄、高危病人进行穿刺引流病例作回顾性分析。结果：68例均穿刺置管成功并且获得了有效的引流减压。患者的症状和体征在引流后1~2 d缓解或消失。术后1~5 d体温及白细胞计数逐步恢复正常，59例合并有胆囊结石的病人于2月后择期行胆囊切除术和/或胆道探查术。结论：对高龄急性结石性胆囊炎病人，经皮经肝胆囊穿刺引流是一种合适的手术方式，值得临床应用。Objective: To summarize the experience of PTGBD in department of hepatobiliary surgery. Methods: The clinical data of 68 cases of acute cholecystitis performed from Jan. 2012 to Dec. 2014 in Shanghai Pudong hospital were analyzed retrospectively. Results: In 68 cases, both punctures were successful for effective drainage and decompression. The signs and symptoms of patients after drainage of 1 - 2 days eased or disappeared. After 1 - 5 days temperature and white blood cell count gradually returned to normal. In 59 patients with cystic and calculous, patients were undergoing elective gallbladder resection or bile duct exploration after 3 months. Conclusion: The gallbladder puncture drainage was a suitable operation method, it was worth clinical application.