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目的观察超声引导下胆囊穿刺置管引流治疗急性结石性胆囊炎的效果。方法选取医院收治的急性结石性胆囊炎患者102例,分为引流组(68例)和开腹组(34例),观察2组手术治疗效果及并发症。结果引流组手术成功率高于开腹组,引流组病死率低于开腹组(P<0.05)。引流组并发症发生率为5.9%(肺部感染2例、腹泻2例),低于开腹组的29.4%(肺部感染3例、梗阻性黄疸4例、切口感染1例,腹泻2例),差异有统计学意义(P<0.05)。结论引流组手术成功率高,病死率少,并发症发生率低,值得临床推广应用。
Objective To observe the effect of ultrasound guided gallbladder catheter drainage in the treatment of acute calculous cholecystitis. Methods A total of 102 patients with acute calcific cholecystitis admitted to the hospital were divided into drainage group (68 cases) and laparotomy group (34 cases). The curative effect and complications of the two groups were observed. Results The success rate of operation in drainage group was higher than that in open group, and mortality in drainage group was lower than that in open group (P <0.05). The incidence of complications in the drainage group was 5.9% (2 cases of pulmonary infection and 2 cases of diarrhea), which was lower than 29.4% of the open group (3 cases of pulmonary infection, 4 cases of obstructive jaundice, 1 case of incisional infection and 2 cases of diarrhea ), The difference was statistically significant (P <0.05). Conclusion The drainage operation group has high operation success rate, low fatality rate and low complication rate, which deserves clinical application.