B超引导下经皮胆囊穿刺置管引流术治疗妊娠中晚期急性结石性胆囊炎

发布时间：2018-06-11 14:09

本文选题：胆囊炎 + 急性　；参考：《中国普通外科杂志》2016年08期

【摘要】：目的:探讨超声引导下经皮胆囊穿刺引流术(PPDG)治疗妊娠中晚期急性结石性胆囊炎的疗效。方法:回顾性分析2010年9月—2015年10月47例妊娠中晚期急性结石性胆囊炎患者行超声引导下PPDG的临床资料。结果:47例患者均成功实施PPDG,治疗后腹痛、发热等症状迅速缓解,无出血、胆瘘等并发症,实验室指标包括白细胞计数、转氨酶、总胆红素、降钙素原均较治疗前明显改善(均P0.05)。除1例患者置管后7 d导管脱落,其余患者均常规拔管或带管分娩后择期行胆囊切除术时拔管。47例患者28例自然分娩,19例剖宫产,新生儿均正常。结论:超声引导下PPDG是治疗妊娠中晚期急性结石胆囊炎有效、安全和简便的方法,推荐临床应用。
[Abstract]:Objective: to evaluate the effect of percutaneous transhepatic cholecystitis (PPDG) guided by ultrasound in the treatment of acute cholecystitis of late pregnancy. Methods: the clinical data of 47 patients with acute cholecystitis of late pregnancy under ultrasound guidance from September 2010 to October 2015 were analyzed retrospectively. Results all 47 patients were successfully treated with PPDG.The symptoms of abdominal pain, fever and other symptoms were relieved rapidly after treatment, and no complications such as hemorrhage and biliary fistula were found. Laboratory indexes including leukocyte count, transaminase, total bilirubin and procalcitonin were significantly improved compared with those before treatment (all P 0.05). Except for one patient who had extubation 7 days after catheterization, all the other patients were extubated by extubation or elective cholecystectomy after delivery with tubules. 28 cases of spontaneous delivery were performed caesarean section in 19 cases, and the newborns were all normal. Conclusion: ultrasound guided PPDG is an effective, safe and simple method for the treatment of cholecystitis of middle and late pregnancy.
【作者单位】：新疆医科大学第二附属医院普通外科;中国石油天然气集团公司乌鲁木齐明园职工医院消化科;新疆医科大学第二附属医院妇产科;
【分类号】：R714.255

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