Famulari C, Macri A, Galipo S, Terranova M, Freni O, Cuzzocrea D
Faculty of Medicine, Department of Surgical Clinic, University of Messina, Italy.
Hepatogastroenterology. 1996 May-Jun;43(9):538-41.
BACKGROUND/AIMS: The Authors propose ultrasonographic percutaneous cholecystostomy in the treatment of acute cholecystitis.
During the period between July 1991-December 1993, 26 patients with acute cholecystitis (18 calculous and 8 acalculous) were observed. The cholecystostomy was performed in principle on patients aged over 70 years and in those with acalculous acute cholecystitis. To rationalize the indication for cholecystostomy in patients aged under 70 years with calculous acute cholecystitis, the Authors elaborated a Risk Score.
The cholecystostomy was performed in 23 patients, 15 with calculous and 8 with acalculous acute cholecystitis, and was successful in 22 patients (95.7%). In the group with acalculous acute cholecystitis, the cholecystostomy was the resolutive treatment, while in that with calculous acute cholecystitis was associated, when indicated, to the surgery.
The cholecystostomy interrupted the natural history of the disease and has a low morbidity and mortality. It is an effective and rationale contribution to the treatment of the acute cholecystitis.
背景/目的：作者提出超声引导下经皮胆囊造瘘术用于治疗急性胆囊炎。
在1991年7月至1993年12月期间，观察了26例急性胆囊炎患者（18例结石性和8例非结石性）。原则上对70岁以上患者及非结石性急性胆囊炎患者实施胆囊造瘘术。为使70岁以下结石性急性胆囊炎患者胆囊造瘘术的适应证更合理，作者制定了一个风险评分。
23例患者实施了胆囊造瘘术，其中15例为结石性急性胆囊炎，8例为非结石性急性胆囊炎，22例成功（95.7%）。在非结石性急性胆囊炎组，胆囊造瘘术是决定性治疗方法，而在结石性急性胆囊炎组，必要时与手术联合应用。
胆囊造瘘术阻断了疾病的自然进程，且发病率和死亡率低。它是急性胆囊炎治疗的一种有效且合理的方法。
