用超声波指导的胆囊穿刺用于急性胆囊炎
J J Verbanck1, J W Demol, G L Ghillebert
1Department of Gastroenterology, Heilig Hartziekenhuis, Roeselare, Belgium.
Lancet (London, England)
|May 1, 1993
概括
透皮胆囊吸血可以安全有效地治疗高风险患者的急性胆囊炎. 大多数患者的病情有所改善,从胆道感染中获得持续缓解,证明了有价值的最小侵入性选择.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 干预性放射学 干预性放射学
背景情况:
- 急性胆囊炎带来重大风险,特别是在患有严重并发疾病的高风险患者中.
- 对于重症患者来说,传统的治疗选择可能会带来巨大的风险.
研究的目的:
- 评估通过皮肤通过肝胆囊吸血在患有急性胆囊炎的高风险患者的安全性和有效性.
主要方法:
- 在超声指导下,在18名高风险患者中进行了穿皮透肝胆囊吸血.
- 评估了包括临床改善,并发症和长期胆道感染率在内的结果.
主要成果:
- 在18名患者中,有17名患者 (94%) 经过胆囊吸血后出现改善.
- 只有2名患者经历了轻微局部疼痛作为并发症.
- 在17名改善的患者中,13名患者平均在14个月内没有胆道感染;4名患者后来接受了成功的胆囊切除术.
结论:
- 透皮透肝胆囊吸血是一种安全有效的微创手术,用于治疗重症患者急性胆囊炎.
- 这种技术提供了一个有价值的替代品,当立即手术是不可行的或承担过度的风险.
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