CAJ | 학술논문

目的：探讨经皮经肝胆囊穿刺引流术治疗高危急性胆囊炎的疗效。方法选取2012年1月～2012年12月间收治的60例经皮经肝胆囊穿刺引流术治疗的高危急性胆囊炎患者作为治疗组，另选取同期收治的60例行开腹手术或腹腔镜治疗的高危急性胆囊炎患者作为对照组，观察比较两组的治疗效果和并发症发生率。结果治疗组患者手术成功率为100%（60/60），治愈率96.67%（58/60），对照组的成功率为100%（60/60），治愈率96.67%（58/60），两组比较，差异无统计学意义（P＞0.05）；治疗组患者并发症发生率为5%（3/60），对照组患者并发症发生率为11.67%（7/60），两组比较，差异有统计学意义（P＜0.05）。结论经皮经肝胆囊穿刺引流术治疗高危急性胆囊炎的疗效显著，且具有操作简便、有效、安全、并发症少的优点，值得推广应用。
목적：탐토경피경간담낭천자인류술치료고위급성담낭염적료효。방법선취2012년1월～2012년12월간수치적60례경피경간담낭천자인류술치료적고위급성담낭염환자작위치료조，령선취동기수치적60례행개복수술혹복강경치료적고위급성담낭염환자작위대조조，관찰비교량조적치료효과화병발증발생솔。결과치료조환자수술성공솔위100%（60/60），치유솔96.67%（58/60），대조조적성공솔위100%（60/60），치유솔96.67%（58/60），량조비교，차이무통계학의의（P＞0.05）；치료조환자병발증발생솔위5%（3/60），대조조환자병발증발생솔위11.67%（7/60），량조비교，차이유통계학의의（P＜0.05）。결론경피경간담낭천자인류술치료고위급성담낭염적료효현저，차구유조작간편、유효、안전、병발증소적우점，치득추엄응용。
Objective To investigate the efficacy of Percutaneous Transhepatic Gallbladder Drainage(PTGD)for the treatment of high-risk acute cholecystitis patients. Methods 60 high-risk acute cholecystitis patients who were treated by percutaneous transhepatic gallbladder were chosen as treatment group from January, 2012 to December 2012, while the control group included 60 cases of high-risk acute cholecystitis patients undergoing emergency cholecystectomy by open or laparoscopic approach. Observe the efficacy and complication rates between the two groups. Results The success rate of treatment group was 100%(60/60), and the same to the control group. The cure rate of treatment group was 96.67%(58/60), while the control group was 96.67%(58/60). And there was no significant difference in the data of two groups(P>0.05). The complication rate of treatment group [5%(3/60)] was significantly different from that in the control group [11.67%(7/60)](P < 0.05). Conclusion The efficacy of percutaneous transhepatic gallbladder drainage in the treatment of high-risk acute cholecystitis patients was significant. And there was advantages in the approach such as simple operation, effective, safe and less complication. Percutaneous Transhepatic Gallbladder Drainage is worth to be popularized .