• 1.江蘇省人民醫(yī)院肝膽外科(南京210029);;
  • 2.江蘇省人民醫(yī)院B超室;

目的 評價B超引導(dǎo)下經(jīng)皮經(jīng)肝膽囊穿刺引流術(shù)(PC)治療老年急性重癥膽囊炎的效果。
方法 18例重癥膽囊炎的老年患者接受了在局部麻醉下經(jīng)皮經(jīng)肝穿刺膽囊置管引流。
結(jié)果 所有患者穿刺置管成功,無一例發(fā)生并發(fā)癥,且癥狀及體征均于術(shù)后24~48 h明顯改善。
結(jié)論 PC是一種微創(chuàng)、有效、廉價、可靠的治療老年急性重癥膽囊炎的方法。

引用本文: 張峰,林紅軍,王學(xué)浩,范燁. B超引導(dǎo)下經(jīng)皮經(jīng)肝膽囊穿刺引流術(shù)治療老年急性重癥膽囊炎. 中國普外基礎(chǔ)與臨床雜志, 2003, 10(6): 610-610. doi: 復(fù)制

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  2. 2. Harness JK, Strodel WE, Talsma SE. Symptomatic biliary tract disease in the elderly patient [J].Ann Surg, 1986; 52(8)∶ 442.
  3. 3. Van Steenbergen W, Rigauts H, Ponette E, et al. Percutaneous transhepatic cholecystostomy for acute complicated calculous cholecystitis in elderly patients [J]. J Am Geriatr Soc, 1993; 41(2)∶ 157.
  4. 4. Boland GW, Lee MJ, Mueller PR, et al. Gallstones in critically ill patients with acute calculous cholecystisis treated by percutaneous cholecystostomy: nonsurgical therapeutic options [J]. AJR Am J Roentgenol, 1994; 162(5)∶ 1101.
  5. 5. Shirai Y, Tsukada K, Kawaguchi H, et al. Percutaneous transhepatic cholecyststomy for acute acalculous cholecystitis [J]. Br J Surg, 1993; 80(11)∶ 1440.