不同胆囊穿刺方式在急性胆囊炎治疗中的应用

目的 分析不同经皮胆囊穿刺方式在急性胆囊炎治疗中的应用.方法 对2019年1月至2019年11月在宁德市医院行经皮胆囊穿刺引流术的94例急性胆囊炎患者进行回顾性分析,按照穿刺方式分为A组(置换穿刺法,39例)和B组(一步穿刺法,55例),比较两组炎症因子如白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、应激...

Application of different gallbladder puncture methods in the treatment of acute cholecystitis

Objective To analyze the application of different percutaneous gallbladder puncture methods in the treatment of acute cholecystitis. Methods A total of 94 patients with acute cholecystitis who underwent percutaneous gallbladder puncture and drainage between Jan. 2019 and Nov. 2019 were retrospectively analyzed. Patients were divided into group A (replacement puncture method, 39 cases) and group B (one-step puncture method, 55 cases). The levels of interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), high mobility group protein-1 (HMGB-1) and cortisol (Cor) were compared between the two groups, and the postoperative complications and drainage status were analyzed. Results The success rate of drainage (97.44%) and the incidence of postoperative complications (2.56%) in group A were significantly better than those in group B(81.82%, 27.27%) (χ2 =5.387, 9.864; P=0.020, 0.002); the levels of IL-6, HMGB-1, TNF-α and Cor in group A were significantly lower than those in group B at 1 d and 3 d postoperative (P<0.001). Conclusion For patients with acute cholecystitis, replacement puncture drainage can increase the success rate of drainage, decrease the degree of inflammation and stress level, and can prevent iatrogenic damage of gallbladder wall, reduce the incidence of postoperative complications such as biliary fistula.