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目的观察超声引导下胆囊穿刺置管引流(percutaneous gallbladder catheterized drainage,PGCD)治疗老年急性胆囊炎(acute cholecystitis,AC)的临床效果。方法选择自2015年1—12月在医院接受治疗的老年AC患者180例,根据简单数字随机表法分为观察组和对照组各90例,观察组给予PGCD治疗,对照组给予常规内镜穿刺置管引流,对比患者不同时期的治疗效果,术后7 d的置管情况,分析患者的预后情况。结果两组术后7 d患者的胆囊大小以及右上腹疼痛、腹膜炎、恶心呕吐、胆囊床渗出、体温≥38℃及WBC>10×109/L的比例均分别明显小于各组术前,差异均有统计学意义(均P<0.05)。观察组术后7 d患者的右上腹疼痛、恶心呕吐及体温≥38℃的比例均分别明显小于对照组术后7 d,差异均有统计学意义(均P<0.05)。结论通过PGCD治疗老年AC,具有较好的临床效果,且安全性较好。
Objective To observe the clinical effect of ultrasound guided percutaneous gallbladder catheterized drainage (PGCD) in the treatment of senile acute cholecystitis (AC). Methods 180 elderly patients with AC were admitted to the hospital from January to December in 2015. The patients were divided into observation group and control group according to the simple digital random table method, 90 cases in each group. The observation group was treated with PGCD. The control group was given conventional endoscopic puncture The catheter was drained to compare the therapeutic effect of the patients at different stages and the catheterization after 7 days. The prognosis of the patients was analyzed. Results The gallbladder size and right upper quadrant pain, peritonitis, nausea and vomit, gallbladder bed exudation, body temperature ≥38 ℃ and WBC> 10 × 109 / L in both groups at 7 days after operation were significantly lower than those before operation All were statistically significant (P <0.05). In the observation group, the right upper quadrant pain, nausea and vomiting and the body temperature ≥ 38 ℃ were significantly lower than those of the control group 7 d after operation (all P <0.05). Conclusion The treatment of elderly AC with PGCD has good clinical effect and good safety.