| 经皮胆囊造瘘治疗老年重症急性胆囊炎的体会 |
| |
| 引用本文： | 夏焱,俞继卫,张彪. 经皮胆囊造瘘治疗老年重症急性胆囊炎的体会[J]. 齐齐哈尔医学院学报, 2002, 23(11): 1209-1210 |
| |
| 作者姓名： | 夏焱 俞继卫 张彪 |
| |
| 作者单位： | 上海第二医科大学附属宝钢医院普外科,201900 |
| |
| 摘 要： | 目的：探讨急诊B超引导下经皮经肝胆囊造瘘治疗老年重症急性胆囊炎的价值。方法：对28例70岁以上重症急性胆囊炎患者行B超引导下经皮胆囊造瘘并结合内窥镜治疗。结果：27例造瘘成功，平均2天后症状缓解；胆道造影显示8例伴有总胆管结石，其中7例行ERCP取石并获成功；造瘘后16例行腹腔镜胆囊切除，12例行开腹手术，总病死率3.7％。结论：急诊B超引导下经皮经肝胆囊造瘘结合内镜治疗总胆管结石，然后进行胆囊切除术是治疗老年重症急性胆囊炎的好方法。
|
| 关 键 词： | 经皮胆囊造瘘 治疗 重症急性胆囊炎 老年人 |
Emergency Cholecystostomy for Acute Severe Cholecystitis in the Elderly |
| |
| Abstract: | Objective To investigate the value of emergency underwent uitrasonographically guided percutaneous cholecystostomy for acute severe cholecystitis in the elderly.Methods 28 patients over 70 years who diagnosed acute severe cholecystitis underwent uitrasonographically guided percutaneous cholecystostomy and treated by ERCP.Results Cholecystostomy was performed successfully in 27 patients, they resoluted of the acute attack in all after a mean period of 2 days. Cholangiography revealed common bile duct stones in 8 patients, preoperative endoscopic sphincterotomy and stone extraction was performed in 7 patients. The mortality was 3.7%.Conclutions Emergency cholecystostomy and elective cholecystectomy for acute severe cholecystitis in the elderly were optimal treatment. |
| |
| Keywords: | Ultrasonography Percutaneous cholecystostomy Acute severe cholecystitis Endoscopic therapy |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
