Teplick S K, Brandon J C, Wolferth C C, Amron G, Gambescia R, Zitomer N
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock.
Gastrointest Radiol. 1990 Spring;15(2):133-6. doi: 10.1007/BF01888756.
Our experience with 58 percutaneous gallbladder procedures in 48 patients are discussed. Diagnostic procedures consisted of needle aspiration of bile (n = 5) to evaluate the gallbladder as a source of infections and transcholecystic cholangiography (TCC) (n = 32) for bile duct visualization. Percutaneous cholecystostomy (PC) (n = 21) was performed for gallbladder or bile duct decompression or stone dissolution. Ultrasound and/or fluoroscopic guidance were used, and the procedures were successful in all but one patient. The overall complication rate was 13.8% (8/58 procedures) but only 5.2% were considered serious (three instances of bile peritonitis). No vasovagal reactions or hemorrhage occurred. We also reviewed the complications in 231 cases of PC that have been reported in the English literature. The overall complication rate was 7.8%, and the most significant problems were death (n = 1), peritonitis (n = 3), and severe vasovagal reactions (n = 4).
我们讨论了48例患者58次经皮胆囊手术的经验。诊断性手术包括胆汁穿刺抽吸（n = 5）以评估胆囊作为感染源，以及经胆囊胆管造影术（TCC）（n = 32）用于胆管显影。经皮胆囊造瘘术（PC）（n = 21）用于胆囊或胆管减压或结石溶解。采用超声和/或荧光透视引导，除1例患者外，所有手术均成功。总体并发症发生率为13.8%（58次手术中有8次），但仅5.2%被认为是严重的（3例胆汁性腹膜炎）。未发生血管迷走神经反应或出血。我们还回顾了英文文献中报道的231例经皮胆囊造瘘术的并发症。总体并发症发生率为7.8%，最严重的问题是死亡（n = 1）、腹膜炎（n = 3）和严重血管迷走神经反应（n = 4）。
