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1、DSA下行胆囊穿刺引流在高龄高危胆囊炎患者中的应用马箭1李振2(1辽宁省营口市皴鱼圈区中心医院介入科辽宁营口115007)(2新疆塔城地区乌苏市人民医院新疆塔城833000)【摘要】目的:评价经CT片定位于DSA下行经皮经肝胆囊穿刺引流术(PTGD)对老年人急性胆囊炎患者的临床疗效。方法:回顾性分析46例老年急性胆囊炎患者在DSA引导下行经皮经肝胆囊穿刺引流术的临床资料,并与同期36例行胆.囊切除术和13例胆囊造痿患者的临床资料进行对比,对3种治疗方法的疗效进行比较。结果:切除术组及造痿术组术后并发症发牛率、病死率、平均住院天数分别为32.4%(12/36
2、)和7.7%(1/13),5.4%(2/37)和7.7%(1/13),(25.4±16.5)d和(32.1±12.5)d,PPDG组患者无并发症和死亡,平均住院天数为(19.5±9.8)d,三组间比较差异有统计学意义(均PV0.05)o结论:DSA引导下行PPDG是治疗老年人急性胆囊炎有效、安全和简便的方法。【关键词】胆囊炎;急性;DSA介入性;穿刺【中图分类号】R615【文献标识码】A【文章编号】2095-1752(2015)13-0044-02DSAdownwardgallbladderpuncturedrai
3、nageapplicationinhigh-riskcholecystitisinagedpatientsMaJian.BayujuanCentralHospitalofYingkouCity,LiaoningProvince,Yingkou,115007,China;LiZhen.ThePeople'sHospitalofWusuCity,Xinjiang,Wusu833000,China[Abstract]ObjectiveToevaluatetheclinicalcurativeeffectoftheelderlypatientswithacutec
4、holecystitissufferthelivergallbladderpuncturedrainage(PTGD)underDSAbyCTpositioning.Methods46casesofelderlypatientswithacutecholecystitiswereretrospectivelyanalyzedthatunderDSAguidaneethroughtheskinbytheclinicaldataoflivergallbladderpuncturedrainage,andcomparedtheclinicaldatawith36
5、routinecholecystectomyand13casesofgallbladdercolostomypatients,tocomparethecurativeeffectofthreetreatmentmethods.ResultsCombinationcolostomysurgeryresectiongroupaveragehospitalizationdayspostoperativecomplicationsandmortalitywere32.4%(12/36)and7.7%(1/13),5.4%(2/37)and7.7%(1/13)and
6、(25.4-16.5)dand(32.1+/-12.5)d,PPDGgroupofpatientswithoutcomplicationsanddeath,averagehospitalizationdayswas(19.5+9.8)d,comparingdifferencesbetween3groupswasstatisticallysignificant(allP<0.05).ConclusionsItiseffective,safeandsimplemethodthattotreattheelderlyacutecholecystitisdoi
7、ngPPDGbyDSAguided.【Keywords]Cholecystitis;Acute;DSAinterventional;Thepiercing本研究采用DSA引导下经皮经肝胆囊穿刺引流术(PTGD)治疗老年急性胆囊炎患者,取得满意的疗效,现将结果报道如下。1•资料与方法1.1临床资料2009-2014年明确诊断的老年急性胆囊炎住院患者109例,其中男性59例,女性50例。根据处理方法不同分为三组,接受胆囊切除术(切除术组)37例,年龄60〜83岁,平均(71.3土10.8)岁,分别伴有不同程度的慢性支气管炎、肺炎、高血压、冠心病、慢性肾炎、糖尿
8、病等;胆囊造痿术(造痿术组)13例,年龄60〜87岁,平均(75.