| 黄岩陈松旺戴洁张平洋.超声引导下经皮经肝胆囊置管治疗老年化脓性胆囊炎伴胆囊积液[J].,2011,11(7):1298-1300 |
| 超声引导下经皮经肝胆囊置管治疗老年化脓性胆囊炎伴胆囊积液 |
| Application of Ultrasound - Guided Percutaneous and Per-LiverCholecystostomy for Acute Purulent Cholecystitis and GallbladderHydrops in Elderly Patients |
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| DOI： |
| 中文关键词: 超声介入 胆囊积液 化脓性胆囊炎 胆囊穿刺 |
| 英文关键词: Ultrasound intervention Gallbladder hydrops Purulent cholecystitis Gallbladder puncture |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨超声引导下经皮经肝胆囊置管引流治疗化脓性胆囊炎伴胆囊积液的应用价值。方法：老年患者不能耐受手术或
不愿手术治疗，胆囊颈部结石嵌顿引起的化脓性胆囊炎伴胆囊积液患者86 例，在超声引导下，8F 猪尾巴导管经皮经肝进行胆囊
穿刺置管治疗。治疗后用超声进行随访观察，结合临床症状判断疗效。结果：在超声引导下，86 例化脓性胆囊炎伴胆囊积液患者均
成功进行胆囊穿刺置管引流冲洗治疗，患者症状明显改善，经治疗临床症状消失后出院，择期拔管。结论：超声引导下经皮经肝胆
囊置管微创治疗是不能手术或不愿接受手术的化脓性胆囊炎伴胆囊积液患者的一种有效治疗方法。 |
| 英文摘要: |
| Objective: To evaluate the clinical value of ultrasound guided percutaneous and per-liver cholecystostomy in the treatment
of acute purulent cholecystitis and gallbladder hydrops in elderly patients. Methods: Eighty-six elderly patients with acute purulent
cholecystitis and gallbladder hydrops, who either can not endure or are unwilling to receive the surgical operations, received percutaneous
and per-liver puncture with 8F pig-tail-like needle under ultrasound guidance. The effect can be concluded by the ultrasound check
as well as the clinical syptoms. Results: All patients were successfully treated at the first time by the therapy of ultrasound - guided percutaneous
and per-liver cholecystostomy and drug washing, and the symptoms of the patients turned for better. With all clinical symptoms
and signs eliminated after treatment, the tube should be removed timely. Conclusion: Ultrasound - guided percutaneous and per-liver
cholecystostomy is an effective method for patients with acute purulent cholecystitis and gallbladder hydrops, who can not endure or are
unwilling to receive the surgical operations. |
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