Percutaneous puncture and drainage of gallbladder under the guidance of ultrasonography in treatment of the elderly patients with acute cholecystitis

VernacularTitle:超声引导下经皮胆囊穿刺引流术治疗老年人急性胆囊炎的临床观察
Author: Fajin GUO ; Junhong REN ; Sheng HE ; Baoan QIU
Publication Type:Journal Article
Keywords: Cholecystitis,acute; Uhrasonography,Interventional; Punctures
From: Chinese Journal of Geriatrics 2012;31(1):36-38
CountryChina
Language:Chinese
Abstract: ObjectiveTo evaluate the applicection value of ultrasonically guided percutaneous puncture and drainage of gallbladder (PPDG) in treating elderly patients with acute cholecystitis.MethodsThe clinical data of 59 elderly patients with acute cholecystitis treated by ultrasonically guided PPDG were retrospectively analyzed and compared with 37 patients treated by cholecystectomy or 13 cases by cholecystostomy.ResultsThe rates of complication and fatality and average hospital days were 32.4 ％ (12/37),5.4 ％ (2/37) and (25.4 ± 16.5 ) d in patients by cholecystectomy and 7.7％(1/13),7.7％(1/13) and (32.0± 12.5) d in patients by cholecystostomy,respectively,while the complication and mortality were not found in patients by ultrasonic ally guided PPDG with average hospitalization of(19.5 ±9.8)d. The rates of the complication and average hospital days were significantly higher in patients by cholecystectomy and cholecystostomy than in patients by ultrasonically guided PPDG (P＜0.05).ConclusionsUltrasonically guided PPDG is effective,safe and convenient for the treatment of acute cholecystitis in elderly patients.