PTGD与腹腔镜胆囊切除序贯微创治疗高危急性胆囊炎分析

发布时间：2018-02-23 03:50

本文关键词： 腹腔镜胆囊切除高危急性胆囊炎经皮经肝胆囊穿刺引流术　出处：《中国现代药物应用》2016年17期 　论文类型：期刊论文

【摘要】：目的探究高危急性胆囊炎(AC)采用经皮经肝胆囊穿刺引流术(PTGD)与腹腔镜胆囊切除序贯微创治疗的临床效果。方法 60例高危急性胆囊炎患者,随机分为观察组和对照组,各30例,观察组给予PTGD加腹腔镜胆囊切除序贯微创(LC)治疗,对照组给予直接LC治疗,对比分析两组临床疗效。结果观察组患者抗生素的使用时间及术中出血量明显少于对照组,观察组中转开腹率为6.7%、术后并发症发生率为13.3%,明显低于对照组的26.7%、36.7%,差异有统计学意义(P0.05)。结论 PTGD与LC治疗高危急性胆囊炎临床效果显著,可减少患者术中的出血量,利于患者的预后,降低术中中转开腹率及术后并发症的发生率,值得在临床上广泛应用。
[Abstract]:Objective to investigate the clinical effect of percutaneous transhepatic cholecystectomy (PTGD) and laparoscopic cholecystectomy (LC) in patients with acute cholecystitis. Methods Sixty patients with high risk acute cholecystitis were randomly divided into observation group (n = 30) and control group (n = 30). The observation group was treated with PTGD plus sequential minimally invasive cholecystectomy (LC), the control group was treated with direct LC, and the clinical efficacy of the two groups was compared and analyzed. Results the time of antibiotic use and the amount of intraoperative bleeding in the observation group were significantly less than those in the control group. The rate of conversion to laparotomy in the observation group was 6.7 and the incidence of postoperative complications was 13.3, which was significantly lower than that in the control group (26.7 / 36.7). Conclusion the clinical effect of PTGD and LC in the treatment of high risk acute cholecystitis is significant and the amount of intraoperative bleeding can be reduced. It is beneficial to the prognosis, reducing the rate of intraoperative conversion to laparotomy and the incidence of postoperative complications, which is worthy of extensive clinical application.
【作者单位】：河南大学淮河医院普外科;
【分类号】：R657.41

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