医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
13期
44-45
,共2页
胆囊炎%急性%DSA介入性%穿刺
膽囊炎%急性%DSA介入性%穿刺
담낭염%급성%DSA개입성%천자
Cholecystitis%Acute%DSA interventional%The piercing
目的：评价经CT片定位于DSA下行经皮经肝胆囊穿刺引流术(PTGD)对老年人急性胆囊炎患者的临床疗效。方法：回顾性分析46例老年急性胆囊炎患者在DSA引导下行经皮经肝胆囊穿刺引流术的临床资料，并与同期36例行胆囊切除术和13例胆囊造瘘患者的临床资料进行对比，对3种治疗方法的疗效进行比较。结果：切除术组及造瘘术组术后并发症发生率、病死率、平均住院天数分别为32.4%（12/36）和7.7%（1/13），5.4%（2/37）和7.7%（1/13），（25.4±16.5）d和（32.1±12.5）d，PPDG组患者无并发症和死亡，平均住院天数为（19.5±9.8）d，三组间比较差异有统计学意义（均P＜0.05）。结论：DSA引导下行PPDG是治疗老年人急性胆囊炎有效、安全和简便的方法。
目的：評價經CT片定位于DSA下行經皮經肝膽囊穿刺引流術(PTGD)對老年人急性膽囊炎患者的臨床療效。方法：迴顧性分析46例老年急性膽囊炎患者在DSA引導下行經皮經肝膽囊穿刺引流術的臨床資料，併與同期36例行膽囊切除術和13例膽囊造瘺患者的臨床資料進行對比，對3種治療方法的療效進行比較。結果：切除術組及造瘺術組術後併髮癥髮生率、病死率、平均住院天數分彆為32.4%（12/36）和7.7%（1/13），5.4%（2/37）和7.7%（1/13），（25.4±16.5）d和（32.1±12.5）d，PPDG組患者無併髮癥和死亡，平均住院天數為（19.5±9.8）d，三組間比較差異有統計學意義（均P＜0.05）。結論：DSA引導下行PPDG是治療老年人急性膽囊炎有效、安全和簡便的方法。
목적：평개경CT편정위우DSA하행경피경간담낭천자인류술(PTGD)대노년인급성담낭염환자적림상료효。방법：회고성분석46례노년급성담낭염환자재DSA인도하행경피경간담낭천자인류술적림상자료，병여동기36례행담낭절제술화13례담낭조루환자적림상자료진행대비，대3충치료방법적료효진행비교。결과：절제술조급조루술조술후병발증발생솔、병사솔、평균주원천수분별위32.4%（12/36）화7.7%（1/13），5.4%（2/37）화7.7%（1/13），（25.4±16.5）d화（32.1±12.5）d，PPDG조환자무병발증화사망，평균주원천수위（19.5±9.8）d，삼조간비교차이유통계학의의（균P＜0.05）。결론：DSA인도하행PPDG시치료노년인급성담낭염유효、안전화간편적방법。
ObjectiveTo evaluate the clinical curative effect of the elderly patients with acute cholecystitis suffer the liver gallbladder puncture drainage (PTGD) under DSA by CT positioning.Methods 46 cases of elderly patients with acute cholecystitis were retrospectively analyzed that under DSA guidance through the skin by the clinical data of liver gallbladder puncture drainage, and compared the clinical data with 36 routine cholecystectomy and 13 cases of gallbladder colostomy patients, to compare the curative effect of three treatment methods.Results Combination colostomy surgery resection group average hospitalization days postoperative complications and mortality were 32.4% (12/36) and 7.7% (1/13), 5.4% (2/37) and 7.7% (1/13) and (25.4-16.5) d and (32.1 + / - 12.5) d, PPDG group of patients without complications and death, average hospitalization days was (19.5 + 9.8) d, comparing differences between 3 groups was statistically significant (allP < 0.05).Conclusions It is effective, safe and simple method that to treat the elderly acute cholecystitis doing PPDG by DSA guided .
