Treatment of B ultrasonography guiding percutaneous gall-bladder catheterrized drainage in elder patients with acute cholecystitis
- VernacularTitle:B超引导下经皮胆囊穿刺置管引流术治疗老年急性胆囊炎
- Author:
Xiaodong SONG
- Publication Type:Journal Article
- Keywords:
Cholecystitis, acute?Aged?Drainage?Ultrasonography
- From:
Chinese Journal of Current Advances in General Surgery
2009;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the clinical value and significance of B ultrasonography guiding percutaneous gallbladder catheterized drainage (PGCD)in elder patients with acute chole-cystitis. Methods: The clinical data of 34 elder patients with acute cholecystitis in our hospital who were treated with PGCD were analysed retrospectively, and comparing with those clinical data of 22 elder patients with acute cholecystitis in our hospital during the same period who were treated with traditional gallbladder removal operation, and these data were evaluated with statistical analysis. Results: The incidence rate of postoperative complications and death rate in the group of elder patients with acute cholecystitis who were treated with PGCD were 0, the average stay was 18.2 days. The incidence rate of postoperative complications in the group of elder patients with acute cholecystitis who were treated with traditional gallbladder removal operation was 40.9% , the death rate of this group was 13.6% , and the average stay was 23.7 days. Statistical analysis confirmed that the difference of incidence rate of postoperative complications, death rate and average stay between these two treatments have statistical significance. Conclusion: Ultrasonography guiding PGCD is a safe, effective and easily operating method for the first treatment plan treatment of elder patients with acute cholecystitis.