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目的：探讨评价超声引导下经皮经肝胆囊穿刺引流后，通过长时间引流从而静止胆囊内结石对于高危结石性胆囊炎患者的临床疗效。方法：选取2014年1月--2016年1月期间在我科就诊的32例急性结石性胆囊炎患者，在超声引导下经皮经肝胆囊穿刺长期引流治疗，在治疗过程中引流时间是3-7周，夹管时间1-3周，通过对手术前后患者症状改善情况对比来评价治疗效果。结果：32例患者均成功在B超下完成经皮经肝胆囊穿刺引流术治疗。8例结石完全清除，23例患者胆囊内结石全部由活动状态变为静止状态，胆囊炎症消除。其中1例患者发生脱管。1例发生急性胆囊出血，经止血治疗后病情好转。1例患者是胃癌晚期合并急性坏疽胆囊炎合并胆囊结石于1个月拔管，3个月后病情复发，但家属放弃治疗。结论：超声引导下经皮经肝胆囊穿刺引流静止结石治疗具有操作方便同时安全性高的优点，且并发症发病率低，是治疗高危急性结石性胆囊炎患者的良好方案。“,”Discusses evaluation of ultrasound guided percutaneous after liver galbladder puncture drainage, drainage through long time to rest within the galbladder stones for the clinical curative efect of high-risk patients with calculous cholecystitis.Selection methods: January 2014 - January 2016 in our department during the period of 32 cases of patients with acute calculous cholecystitis and, at the time of ultrasound guided percutaneous liver galbladder puncture drainage treatment for a long time, In the treatment of drainage time is 3-7 weeks,based on the symptoms of patients before and after operation was compared to evaluate the efect of the treatment. Results: 32 cases of patients were successfuly completed under ultrasound percutaneous liver galbladder puncture drainage treatment. in the process of tube 1-3 weeks time.8 cases of calculi completely cleared, 23 patients with galbladder stones within al changed from active to stationary state, the galbladder inflammation elimination.In one tube. Acute galbladder bleeding occurred in 1 case, after treatment for the bleeding got better.