经皮胆囊穿刺置管引流治疗高危急性胆囊炎

目的：分析经皮胆囊穿刺置管引流术（PGCD）治疗高危急性胆囊炎的临床价值。方法：对30例高危急性胆囊炎行PGCD，其中23例为结石性急性胆囊炎，7例为非结石性急性胆囊炎；经皮经肝穿刺13例，经皮腹腔穿刺17例。结果：PGCD操作成功率为100％，24～72h内患者腹痛症状缓解。7例非结石性胆囊炎患者术后4～6周顺利拔管；23例结石性胆囊炎患者中12例择期行外科手术，11例患者带管生存。结论：PGCD简单、安全、微创，是救治高危急性胆囊炎的一种实用介入方法，能为后续治疗创造条件。

Clinical value of percutaneous gallbladder catheterized drainage in the treatment of acute severe cholecystitis

Objective： To study the clinical value of percutaneous gallbladder catheterized drainage （PGCD） in the treatment of acute severe cholecystitis. Methods： During the period of January 2004-July 2013, PGCD was performed in 30 cases including 23 cases of calculous cholecystitis and 7 cases of acalculous cholecystitis;13 cases were punctured by percutaneous transhepatic, 17 cases by percutaneous abdomen cavity. Results： The success rate of PGCD technical operation was 100%. Abdominal pain was relieved within 24-72 hours after operation. The drainge tube was extracted in 7 cases of acalculous cholecystitis postoperative period of 4-6 weeks;23 cases of calculous cholecystitis were treated subsequently, 12 cases of selective surgery, 11 cases of living with retention of drainge tube. Conclusion： PGCD is a simple, safe and minimal invasive treatment for acute severe cholecystitis, which is very helpful for the subsequent therapies.