The value of CT-guided percutaneous transhepatic gallbladder drainage in the treatment of high-risk acute cholecystitis
10.3969/j.issn.1002-1671.2024.02.027
- VernacularTitle:CT引导下经皮经肝胆囊穿刺引流术在高危急性胆囊炎治疗中的价值
- Author:
Baohua JIANG
1
;
Lei JIN
;
Xiaofeng YU
;
Han YAO
;
Chen CHAI
Author Information
1. 苏州高新区人民医院介入放射科,江苏 苏州 215000
- Keywords:
acute cholecystitis;
percutaneous transhepatic gallbladder drainage;
CT-guided
- From:
Journal of Practical Radiology
2024;40(2):289-292
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of CT-guided percutaneous transhepatic gallbladder drainage(PTGBD)in treatment of high-risk acute cholecystitis(AC)patients.Methods CT-guided PTGBD was performed in 29 patients with high-risk AC.The therapeutic results were evaluated by comparing the preoperation and postoperation clinical manifestations and laboratory results.Results The implantation of PTGBD catheter was successfully accomplished with single procedure in all patients.Complica-tions occurred in 2 cases,including abdominal pain in 1 case and a small amount of gallbladder bleeding in 1 case,and the incidence of complications was 6.9%.Compared with preoperation,the pain number rating scale(NRS)score,temperature(T),white blood cell count(WBC),C-reactive protein(CRP),total bilirubin(TBIL),alanine aminotransferase(ALT)and aspartate aminotransferase(AST)were significantly decreased 3 days after PTGBD(P<0.001).Except for 1 case of choledocholithiasis with continuous abdominal pain after PTGBD,the postoperation symptoms of the other patients were significantly relieved.Followed up for 3 months,2 cases of calculous AC recurred after PTGBD,and the recurrence rate of cholecystitis was 25.0%.Conclusion For high-risk AC,the CT-guided PTGBD is a safe and effective treatment method,and it can remarkably relieve the clinical symptoms.Patients with calculous AC have higher risk of recurrence and might benefit from definitive cholecystectomy.
