Taylor S, Rawlinson J, Malone D E
Department of Radiology, McMaster University Medical Centre, Hamilton, Ontario, Canada.
Clin Radiol. 1992 Apr;45(4):273-5. doi: 10.1016/s0009-9260(05)80014-5.
Acute acalculous cholecystitis is a significant cause of morbidity and mortality in patients with other serious illnesses (Howard, 1981) and the mortality rate after surgical cholecystostomy may reach 15% (McGahan and Lindfors, 1989). Radiologically controlled percutaneous cholecystostomy is a safe, minimally invasive, procedure which may be curative (McGahan and Lindfors, 1989; Berger et al., 1989). Both cases described here were successfully treated by percutaneous cholecystostomy. A modified Seldinger technique was used in one and a direct 'trocar' puncture in the other. Percutaneous cholecystostomy, which is technically relatively straightforward, is now the treatment of choice for acute acalculous cholecystitis.
急性非结石性胆囊炎是其他重症患者发病和死亡的重要原因（霍华德，1981年），手术胆囊造口术后死亡率可达15%（麦加汉和林德福斯，1989年）。放射学控制下的经皮胆囊造口术是一种安全、微创的手术，可能具有治愈性（麦加汉和林德福斯，1989年；伯杰等人，1989年）。这里描述的两例病例均通过经皮胆囊造口术成功治疗。其中一例采用改良的塞丁格技术，另一例采用直接“套管针”穿刺。经皮胆囊造口术在技术上相对简单，现已成为急性非结石性胆囊炎的首选治疗方法。
