CAJ | 학술논문

目的：观察和分析超声引导下经皮胆囊穿刺引流术在高危急性胆囊炎患者中的应用效果。方法选择2012年3月—2014年3月在该院进行治疗的行急性胆囊炎手术患者100例，按照手术方式的不同将其分为观察组（50例）和对照组（50例）两组，其中观察组采用穿刺引流术进行治疗，对照组采用传统胆囊切除术进行治疗。结果胃肠减压时间、抗生素治疗时间、导管留置时间以及住院时间上，观察组明显比对照组有所缩短，且两组相比差异有统计学意义(P<0.05)；对照组患者并发症发生率为40.0%，观察组患者无1例发生严重并发症或者死亡。结论高危急性胆囊炎患者采用超声引导下经皮胆囊穿刺引流术进行治疗，与传统的胆囊切除术相比，对患者的创伤比较小，且患者恢复较快，并发症发生率也大大降低，是一种安全可行的治疗方法。
목적：관찰화분석초성인도하경피담낭천자인류술재고위급성담낭염환자중적응용효과。방법선택2012년3월—2014년3월재해원진행치료적행급성담낭염수술환자100례，안조수술방식적불동장기분위관찰조（50례）화대조조（50례）량조，기중관찰조채용천자인류술진행치료，대조조채용전통담낭절제술진행치료。결과위장감압시간、항생소치료시간、도관류치시간이급주원시간상，관찰조명현비대조조유소축단，차량조상비차이유통계학의의(P<0.05)；대조조환자병발증발생솔위40.0%，관찰조환자무1례발생엄중병발증혹자사망。결론고위급성담낭염환자채용초성인도하경피담낭천자인류술진행치료，여전통적담낭절제술상비，대환자적창상비교소，차환자회복교쾌，병발증발생솔야대대강저，시일충안전가행적치료방법。
Objective To observation and analysis of ultrasound guided percutaneous puncture drainage gallbladder application effect in high-risk patients with acute cholecystitis.Methods 100 patients with the operation of acute cholecystitis in the hospital from March 2011 to March 2013 were selected,divides into the observation group and the control group according to the different ways of operation,each 50 examples,the observation group were treated by puncture drainage,the control group were treated with traditional resection of gallbladder.Results Patients in the observation group, the time of gastrointestinal decompression antibiotic treatment time, indwelling time, hospitalization time was shorter significantly compared with the control group,the differences between the two groups were significantly, (P<0.05); the incidence of complications in the control group was 40%, the observation group patients without severe complications or death.Conclusion Compared with traditional cholecystectomy,clinical treatment of ultrasound guided percutaneous puncture drainage of gallbladder used in high-risk patients with acute cholecystitis,with less trauma, faster recovery, less complications and other advantages,is a safe and feasible treatment method.