McGahan J P
Department of Radiology, University of California Davis Medical Center, Sacramento 95817.
Radiology. 1988 Jan;166(1 Pt 1):49-52. doi: 10.1148/radiology.166.1.3275970.
A catheter specifically designed for percutaneous cholecystostomy was inserted into the gallbladders of 17 hospitalized patients who were thought to have acute cholecystitis. Cholecystostomies were performed in all patients without complications, and catheters were inserted in the intensive care unit with use of portable sonographic guidance in all but two patients. The catheter was inadvertently dislodged in one patient but there were no sequelae. Therefore, for all subsequent patients the catheter was modified to include a Cope loop to prevent migration of the catheter out of the gallbladder. The sonographically detectable catheter may be placed via a Seldinger technique or trocar method. Because it is short, the catheter is easily maneuverable.
一根专门为经皮胆囊造瘘术设计的导管被插入了17名住院患者的胆囊，这些患者被认为患有急性胆囊炎。所有患者均成功进行了胆囊造瘘术，且无并发症发生，除两名患者外，其余患者均在重症监护病房利用便携式超声引导插入导管。有一名患者的导管意外脱落，但未产生后遗症。因此，对于所有后续患者，对导管进行了改良，增加了一个Cope袢以防止导管从胆囊中移出。这种可通过超声检测的导管可通过Seldinger技术或套管针方法放置。由于导管较短，易于操作。
