Observation of the clinical effect of gallbladder puncture and drainage guided by ultrasound in the treatment of elderly patients with acute severe cholecystitis
10.3760/cma.j.issn.1008-6706.2017.06.026
- VernacularTitle:超声引导下胆囊穿刺引流术治疗老年人急性重症胆囊炎的临床效果观察
- Author:
Xiaolong WANG
- Keywords:
Cholecystitis;
Ultrasound guided;
Gallbladder puncture and drainage;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(6):902-904,905
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of gallbladder puncture and drainage guided by ultrasound in the treatment of elderly patients with acute severe cholecystitis.Methods 71 elderly patients with acute severe cholecys-titis were selected.All patients were treated with gallbladder puncture and drainage guided by ultrasound.The preoper-ative and postoperative signs were compared.The success rate of the tube,the rate of inflammation control,the number of patients with disease onset and selective cholecystectomy were recorded.Results The success rate of intubation of the acute non -calculous cholecystitis group and acute calculous cholecystitis group was 100.00%.The inflammatory control rate of acute non -calculous cholecystitis group was 97.29%,which of the acute calculous cholecystitis group was 97.05%,the difference was not statistically significant(χ2 =0.004,P =0.952).The average control rate of inflammation was 97.18%.The acute non -calculous cholecystitis group had no elective cholecystectomy,and the acute calculous cholecystitis group had 10 patients undergoing elective cholecystectomy,there was significant differ-ence(χ2 =10.086,P =0.001).The acute non -calculous cholecystitis group had no complications,the acute calcu-lous cholecystitis group had 2 cases of bleeding,but the difference was not statistically significant(χ2 =2.240,P =0.135).Conclusion Gallbladder puncture and drainage guided by ultrasound can quickly relieve clinical symp-toms,improve the success rate of surgery and reduce the clinical risk for the elderly with acute severe cholecystitis,it is a clinical priority and worth to be promoted in clinical.
