PTGD治疗急性胆囊炎的临床疗效观察

目的:探讨B超引导下经皮经肝胆囊穿刺引流术(PTGD)治疗急性胆囊炎的临床方法和临床疗效。方法:将我院2009年1月～2011年5月收治的120例急性胆囊炎患者分为观察组和对照组,对照组用传统的胆囊切除术治疗,观察组采用PTGD治疗,比较两组患者的临床疗效。结果:观察组的治愈率、抗生素的使用时间、并发症的发生率、死亡率及住院时间分别为95.0%、(4.1±1.9)d、0.0、0.0、(18.2±3.2)d,对照组分别为90.0%、(6.4±2.1)d、20.0%、10.0%、(23.7±4.6)d,两组治愈率比较无统计学意义(P>0.05),但观察组抗生素使用时间、住院时间显著短于对照组(P<0.05),并发症发生率及死亡率明显低于对照组(P<0.05)。结论:PTGD治疗急性胆囊炎疗效确切,可明显降低并发症和死亡率,且创伤小,值得临床推广。

Effect of percutaneous transhepatic gallbladder drainage on acute cholecystitis

Objective:To investigate effect of percutaneous transhepatic gallbladder drainage(PTGD)on acute cholecystitis.Methods: A total of 120 cases with acute cholecystitis,admitted from January 2009 to May 2011 were randomly divided into trial group and control group.Patients in the control group were treated by traditional cholecystectomy,and patients in the observation group by PTGD treatment.Clinical curative effect was observed and compared.Results:The cure rate was 96.7%,administration time of antibiotic was(4.1±1.9) d,the incidence of complications was 0.0%,mortality was 0.0%,and the length of hospital stay was(18.2±3.2) d in observation group.In the control group these indexes were 90.0%,(6.4±2.1) d,20.0%,10.0%,(23.7±4.6)d,respectively.There was no significant difference in cure rate between two groups(P>0.05).Administration time of antibiotic and length of hospital stay were significantly shorter in observation group,incidence of complications and mortality was significantly lower than the control group(P<0.05).Conclusions: PTGD is ef fective on the treatment of acute cholecystitis,and can obviously reduce the incidence of complications and mortality.It is worthy of clinical promotion.