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目的分析与研究经皮肝胆囊穿刺术治疗急性胆囊炎的疗效。方法本文选择80例急性胆囊炎患者进行研究,将这些患者随机分成两组,每组40例,其中有结石性胆囊炎患者28例,非结石性胆囊炎患者12例;观察组患者应用经皮肝胆囊穿刺术进行治疗,而对照组则应用经腹腔胆囊穿刺引流进行治疗。之后对比两组治疗方法的安全性以及疗效。结果患者在24h之内腹痛情况均有缓解,24～72h之内患者的体温均恢复正常,住院10～15d没有出现围术期患者死亡的情况,同时,患者手术前有伴发疾病的均无加重趋势。患者当中出现1例患者术后72h腹痛情况缓解不明显,为引流管不通,在对引流管进行通畅后患者腹痛情况有所缓解。术后,1例患者腹痛加重,通过对其进行胆囊造影检查,发现有胆汁外漏的情况,通过对症治疗以及加强抗感染治疗之后,患者腹痛情况有所缓解。结论治疗急性胆囊炎,经皮肝胆囊穿刺术创口小、操作简单、疗效确切,并且安全性高,具有着非常重要的临床应用价值。
Objective To analyze and study the effect of percutaneous hepatobiliary puncture in the treatment of acute cholecystitis. Methods 80 cases of acute cholecystitis in our study were selected, these patients were randomly divided into two groups, 40 cases in each group, including 28 cases of calculous cholecystitis in patients with non-calcified cholecystitis in 12 cases; observation group patients with percutaneous Hepatic gallbladder puncture for treatment, while the control group is the application of transabdominal gallbladder drainage for treatment. After comparing the two groups of treatment methods of safety and efficacy. Results The patients had relieved the abdominal pain within 24 hours. The body temperature returned to normal within 24 ~ 72 hours. There was no perioperative mortality in 10-15 days of hospitalization. At the same time, there were no patients with concomitant diseases before surgery Increase the trend. Among the patients, one patient showed no obvious relief of abdominal pain at 72h after operation, and the drainage tube was blocked. The abdominal pain was alleviated after the drainage tube was unobstructed. After operation, one patient had aggravated abdominal pain. The gallbladder was found to have gallbladder leakage by symptomatic treatment and anti-infective treatment. The patient’s abdominal pain was relieved. Conclusion The treatment of acute cholecystitis, percutaneous transhepatic gallbladder puncture small, simple, effective and safe, has a very important clinical value.