穿皮胆囊静止术作为一种桥梁疗法,用于老年人患有急性胆囊炎的年龄组
Harun Karabacak1, Şener Balas2
1General Surgery Clinic, Ankara Etlik City Hospital, Ankara, 06500, Turkey. drharunkarabacak@gmail.com.
Irish journal of medical science
|October 27, 2023
概括
穿皮胆囊静止术 (PC) 对患有急性胆囊炎的老年患者有效. 这种程序为高风险的老年人提供了安全的管理选择,并发症率低.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 老年医学 老年医学
背景情况:
- 急性胆囊炎对老年患者构成重大风险,特别是那些手术风险较高的患者.
- 穿皮胆囊静脉切除术 (PC) 是这一群体的另一种治疗策略.
研究的目的:
- 评估通过皮肤胆囊管切除术 (PC) 在被诊断患有急性胆囊炎的老年患者的疗效和安全性.
- 评估高手术风险的老年人PC相关的结果和并发症.
主要方法:
- 对于接受PC的急性胆囊炎的老年患者 (平均年龄77) 的医疗记录的回顾性审查.
- 分析患者人口统计,临床表现,成像发现 (USG,CT,MRCP,ERCP),胆汁培养和随后的手术干预.
主要成果:
- 134名高风险老年患者接受了急性胆囊炎的PC.
- 低并发症率 (1.5%胆汁泄漏),没有观察到死亡率.
- 60.4%的患者在PC后接受了选择性胆囊切除术; 34.3%的患者不需要进一步的手术.
结论:
- 腹部超声学引导的PC是高风险老年患者急性胆囊炎的安全有效干预措施.
- PC提供了一种可行的管理选择,有可能避免或推迟对特定老年人进行最终手术.
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