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Percutaneous cholecystostomy by using CT guidance for treatment of acute cholecystitis in elderly, critically ill patients
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 10
- DOI:
- 10.3760/j.issn:1005-1201.2003.10.010
- Key Word:
- 胆囊炎;急性病;放射学,介入性;体层摄影术,X线计算机
Abstract： 目的评估CT引导下经皮胆囊造瘘术治疗高龄、危重急性胆囊炎患者的临床价值并对并发症等问题进行探讨.方法对16 例不能进行急诊胆囊切除手术的高龄、危重急性胆囊炎患者行CT引导下经皮经肝穿刺胆囊造瘘术,在胆囊内置放直径为7～8.5 F猪尾引流管引流潴留胆汁,观察胆囊造瘘前后患者临床症状、体征及血白细胞计数的变化情况.结果 16例患者CT引导下经皮胆囊造瘘均获得成功.15例术后12～48 h临床症状、体征缓解;1例术后无缓解.5例非结石性胆囊炎术后21～28 d拔管后康复;10例结石性胆囊炎30～60 d行胆囊切除手术.无严重并发症.结论CT引导下经皮胆囊造瘘术是1种操作简便、安全有效的胆囊造瘘方法,对于治疗高龄、危重的急性胆囊炎患者具有较为重要的临床价值.
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