McGahan J P, Lindfors K K
Division of Diagnostic Radiology, University of California, Davis Medical Center, Sacramento, CA 95817.
Radiology. 1989 Nov;173(2):481-5. doi: 10.1148/radiology.173.2.2678261.
Emergency percutaneous cholecystostomy was successfully performed in 39 of 40 attempted procedures in 37 hospitalized patients with possible acute cholecystitis. All cholecystostomies were performed with ultrasound guidance and preferentially with the transhepatic route, and all but four were performed at the patient's bedside. The patients had been hospitalized an average of 27 days before the procedure. Twenty-two of the 37 patients (59%) eventually died during hospitalization because of other medical or surgical problems. Only minor complications related to percutaneous cholecystostomy placement occurred in this series: catheter dislodgment without sequelae (n = 2) and significant abdominal pain (n = 2). Technical problems included guide-wire buckling during catheter insertion (n = 1) and failed attempted cholecystostomy (n = 1). Percutaneous cholecystostomy is a safe alternative to surgical cholecystostomy in the treatment of patients suspected of having acute cholecystitis.
在37例住院的疑似急性胆囊炎患者中，40例经皮胆囊造瘘术尝试操作有39例成功。所有胆囊造瘘术均在超声引导下进行，优先采用经肝途径，除4例在手术室进行外，其余均在患者床边完成。手术前患者平均住院27天。37例患者中有22例（59%）最终因其他内科或外科问题在住院期间死亡。本系列中仅发生了与经皮胆囊造瘘术置管相关的轻微并发症：导管移位无后遗症（2例）和严重腹痛（2例）。技术问题包括导管插入过程中导丝弯曲（1例）和胆囊造瘘术尝试失败（1例）。经皮胆囊造瘘术是治疗疑似急性胆囊炎患者的一种安全替代手术胆囊造瘘术的方法。
