Clinical effect of ultrasound-guided percutaneous transhepatic gallbladder drainage in treatment of acute cholecystitis in elderly patients
10.3969/j.issn.1001-5256.2016.10.021
- VernacularTitle:超声引导经皮经肝胆囊穿刺引流术治疗老年急性胆囊炎的效果分析
- Author:
Ping TAO
1
;
Xiangyang WU
;
Lei ZHANG
Author Information
1. Department of General Surgery, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China
- Publication Type:Research Article
- Keywords:
cholecystitis, acute;
ultrasonography;
drainage;
aged
- From:
Journal of Clinical Hepatology
2016;32(10):1929-1931
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the clinical effect of ultrasound-guided percutaneous transhepatic gallbladder drainage (PTGD) in the treatment of acute cholecystitis in elderly patients. MethodsA retrospective analysis was performed for the clinical data of 62 patients who underwent PTGD in Nanjing Hospital Affiliated to Nanjing Medical University from June 2010 to June 2015. The body temperature, white blood cell(WBC) count, liver function, and gallbladder size were measured before PTGD and at 24 and 72 hours after PTGD. The paired t-test was used for comparison of continuous data before and after treatment within each group. ResultsAll the patients achieved a one-time success in PTGD. There was no significant change in body temperature at 24 hours after PTGD (t=0.91, P＞0.05). There were significant reductions in WBC count, alanine aminotransferase, and aspartate aminotransferase from 24 to 72 hours after PTGD, as well as a significant reduction in gallbladder size (all P＜0.05). ConclusionUltrasound-guided PTGD is a safe and effective minimally invasive method for the treatment of acute cholecystitis in critically ill elderly patients who are unable to undergo surgery.
