经皮胆囊造瘘术：经腹膜途径的安全性
Percutaneous cholecystostomy: safety of the transperitoneal route.
作者信息
Garber S J, Mathieson J R, Cooperberg P L, MacFarlane J K
机构信息
Department of Radiology, St Pauls Hospital, Vancouver, BC, Canada.
出版信息
J Vasc Interv Radiol. 1994 Mar-Apr;5(2):295-8. doi: 10.1016/s1051-0443(94)71486-x.
PURPOSE
The authors analyzed the safety and efficacy of transperitoneal percutaneous cholecystostomy (PC) in patients with acute cholecystitis.
PATIENTS AND METHODS
Thirty-four consecutive patients underwent transperitoneal PC for treatment of acute cholecystitis. A trocar technique was used for placement of the drainage catheter.
RESULTS
PC was technically successful in all patients. In 27 (79%) of 34 patients, symptoms of acute cholecystitis resolved within 7 days. Minor complications occurred in two patients (5%). Both patients developed a hematoma adjacent to the gallbladder; these resolved without treatment. No cases of bile leak or bile peritonitis occurred.
CONCLUSION
The transperitoneal route is safe and effective for PC.
目的
作者分析了经皮经腹胆囊造瘘术（PC）治疗急性胆囊炎患者的安全性和有效性。
患者与方法
34例连续性患者接受经皮经腹胆囊造瘘术治疗急性胆囊炎。采用套管针技术放置引流导管。
结果
所有患者的经皮经腹胆囊造瘘术在技术上均获成功。34例患者中的27例（79%）急性胆囊炎症状在7天内得到缓解。2例患者（5%）出现轻微并发症。两名患者均在胆囊旁出现血肿；这些血肿未经治疗自行消退。未发生胆漏或胆汁性腹膜炎病例。
结论
经腹途径进行经皮经腹胆囊造瘘术是安全有效的。
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