ACM  >> Vol. 5 No. 1 (March 2015)

    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

  • 全文下载: PDF(313KB) HTML   XML   PP.34-37   DOI: 10.12677/ACM.2015.51007  
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作者:  

王 勇,陈 杰,李春生,张箭平:上海市浦东医院肝胆外科,上海

关键词:
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)

摘要:

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.

文章引用:
王勇, 陈杰, 李春生, 张箭平. 经皮经肝胆囊穿刺引流在肝胆微创外科的应用体会[J]. 临床医学进展, 2015, 5(1): 34-37. http://dx.doi.org/10.12677/ACM.2015.51007

参考文献

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