Clinical Analysis on Treatment of High-Risk Acute Cholecystitis by UG-PTGD: 348 Cases
WANG Jian- xiong,WU Yu,WANG Ju-yi,WANG Guang-xia
Department of Ultrasound, Tianjin Nankai Hospital，Tianjin ( 300100), China
Abstract:
Objective To study the therapeutic effect of ultrasonically guided percutaneous transhepatic gallbladder bile drainage (UG-PTGD) in treatment of high-risk acute cholecystitis patients. Methods The patients ( 374 cases) with high risk acute cholecystitis undergoing UG-PTGD were retrospectively analyzed. Results Among the 348 cases of patients with high risk acute cholecystitis, the success rate of cannulation was 99.1%. After two weeks of bile drainage, the symptoms of 97.7% of the patients disappeared. Postoperative complications included bleeding in 3 cases, bile leakage in 1 case, pain in puncture site in 4 cases and blockage or abscission of drainage tube in 5 cases. There were two death cases, one died of multiple organ failure caused by acute severe pancreatitis, and one died of myocardial infarction in 1 week after operation. Conclusion UG-PTGD treatment is a simple and effective method against high risk acute cholecystitis.
