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的应用价值.pdfVIP

1298 · · 现代生物医学进展 Progress in Modern Biomedicine Vol.11 NO.7 APR.2011 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 的应用价值* 黄 岩 陈松旺 戴 洁 张平洋△ （南京医科大学附属南京第一医院超声医学科江苏南京210006） 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 86 8F 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 例，在超声引导下， 猪尾巴导管经皮经肝进行胆囊 86 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， 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。 关键词：超声介入；胆囊积液；化脓性胆囊炎；胆囊穿刺 R575.61 R445.1 A 1673-6273 2011 07-1298-03 中图分类号： ， 文献标识码： 文章编号： （ ） Application of Ultrasound - Guided Percutaneous and Per-Liver Cholecystostomy for Acute Purulent Cholecystitis and Gallbladder Hydrops in Elderly Patients* HUANG Yan, CHEN Song -wang, DAI Jie, ZHANG Ping -yang△ Dep artment of Ultrosound Nanj ing No.1 Hosp ital Affiliated to Nanj ing Medical University, Nanj ing, 2 10006, China （ ， ） ABSTRACT Obj ective: To evaluate the clinical value of ultrasound guided percutaneous and per-liver cholecystostomy in the treat- ment 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 percuta- neous 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