急性胆囊炎の Gallbladder の超音波誘導パンクションは,急性胆囊炎の Gallbladder の超音波誘導パンクションは,急性胆囊炎の Gallbladder の急性胆囊炎の Gallbladder
J J Verbanck1, J W Demol, G L Ghillebert
1Department of Gastroenterology, Heilig Hartziekenhuis, Roeselare, Belgium.
Lancet (London, England)
|May 1, 1993
まとめ
皮膚経由の胆囊吸入は,高リスク患者の急性胆囊炎を安全かつ効果的に治療します. ほとんどの患者は改善し,胆道感染症から持続的な緩和がもたらされ,貴重な最小侵襲的選択肢を示しました.
科学分野:
- 胃腸内科 胃腸内科
- 最低侵襲外科手術です.
- 介入放射線学とは,介入放射線学です.
背景:
- 急性胆炎は,特に重度の併発性疾患を有する高リスク患者において,重大なリスクをもたらす.
- 伝統的な治療法は,重症の患者に重大なリスクをもたらす可能性があります.
研究 の 目的:
- 急性胆囊炎の高リスク患者における経皮経肝胆囊吸血の安全性と有効性を評価する.
主な方法:
- 18人の高リスク患者で超音波のガイドの下で,皮膚経経肝胆の吸血が行われました.
- 臨床改善,合併症,および長期的な胆道感染率を含むアウトカムが評価されました.
主要な成果:
- 18人の患者のうち17人 (94%) が,胆囊抽出後,改善を示した.
- 合併症として軽度の局所痛を経験した患者は2人しかいなかった.
- 17人の改善した患者のうち,13人は平均14ヶ月間,胆道感染から自由であり続けました; 4人は後にコレシステクトミーに成功しました.
結論:
- 経皮経肝胆囊抽出は,重症患者の急性胆囊炎の管理のための安全で効果的な最小侵襲的処置です.
- このテクニックは,即時の手術が実現不可能である場合,または過剰なリスクが伴う場合,貴重な代替手段を提供します.
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