| 急性重症胆囊炎腹腔镜手术前PTGD的效果分析 |
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| 引用本文： | 邓海成,蔡云峰,崔伟珍,苏树英. 急性重症胆囊炎腹腔镜手术前PTGD的效果分析[J]. 岭南现代临床外科, 2010, 10(3) |
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| 作者姓名： | 邓海成 蔡云峰 崔伟珍 苏树英 |
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| 作者单位： | 1. 佛山市西樵人民医院普外科,广东,528211
2. 佛山市第一人民医院胆道外科,528000 |
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| 摘 要： | 目的探讨急性重症胆囊炎腹腔镜胆囊切除术前行PTGD的有效性及潜在优势。方法对5年间135例因急性重症胆囊炎行LC的患者进行回顾性分析。病人分为3组:一组为不行PTGD直接行LC的患者(n=45);二组为PTGD后1周行LC的患者(n=38);三组为PTGD后1个月行LC的患者(n=52)。分析各组临床资料,评价PTBD效果,比较各组LC中转开腹率、并发症发生率以及手术效果等。结果二组和三组PTGD术后并发症、病情改善效果没有显著差异(P>0.05)。LC术后中转开腹率比较:一组10例(22.2%),二组7例(18.4%),三组有2例(3.8%),三组与一组和二组比较差异均有显著意义(P<0.05)。手术时间比较:一组95.7±30.5min,二组76.7±29.8min,三组为60.4±15.6min,三组与一组和二组相比差异均有显著意义(P<0.05)。术后并发症比较:一组8例(17.7%),二组5例(13.2%),三组2例(3.8%),三组与一组和二组相比均有显著差异(P<0.05)。结论急性重症胆囊炎PTGD后延期行LC是安全有效的,可以降低中转开腹率及并发症发生率,延期手术时间以1个月较为理想。
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| 关 键 词： | 腹腔镜胆囊切除术 急性胆囊炎 经皮肝胆囊穿刺引流 |
Clinical effects on percutaneous transhepatic gallbladder drainage performed before laparoscopic cholecystectomy in acute severe cholecystitis |
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| Affiliation: | Deng Hai-cheng1; Cai Yun-feng2; Cui Wei-zheng2; et al. 1.Department of General Surgery; The People s Hospital of Xiqiao; Nanhai District; Foshan; Guangdong 528211; 2.Department of Biliary Surgery; The First People s Hospital of Foshan; Guangdong 528000; |
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| Abstract: | Objective To investigate the effect and potential advantages on percutaneous transhepatic gallblader drainage (PTGD) performed before laparoscopic cholecystectomy (LC) in acute severe cholecyctitis. Methods One hundred and thirty five patients with acute severe cholecystitis who received LC were retrospectively analyzed from October 2004 to October 2009. The patients were divided into 3 groups: group 1, patients who underwent LC without preoperative PTGD(n=45); group 2, patients who underwent LC one week af... |
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| Keywords: | Laparoscopic cholecystectomy Acute cholecystitis Percutaneous transhepatic gallblader drainage |
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