比较B超引导下经皮经肝胆囊引流和经皮经腹膜胆囊引流对后续腹腔镜胆囊切除术（LC）的影响

doi:10.3969/j.issn.1001-8131.2023.02.009

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Abstract Objective Compare the effect of ultrasound-guided percutaneous cholecystostomy（PC）related to catheter placement path on subsequent laparoscopic cholecystectomy（LC）. Methods A total of 140 patients with acute calculous cholecystitis who received scheduled LC after PCwere selected and divided into observation group and control group according to the double-blind method.The observation group was patients who received a predetermined LC after percutaneous transhepatic gallbladder drainage（PHGD）,and the control group was a patient who received predetermined LC after percutaneous transperitoneal gallbladder drainage（PPGD）. Results All 140 patients underwent puncture and drainage and were followed up.The pain score during puncture,pain score 12h after puncture,fever,chills and local hemorrhage at the PC site in the observation group were better than those of the control group within 24 hours after puncture,and the differences were statistically significant.（P<0.05）.All 140 patients underwent laparoscopic cholecystostomy and were followed up.Among them,the observation group had 36 cases of mild postoperative adhesions and 34 had severe postoperative adhesions;the control group had 48 cases of mild postoperative adhesions and 22 had severe postoperative adhesions.example.The operation duration,intraoperative blood loss,severe adhesion rate and hospital stay of the observation group were better than those of the control group,and the difference was statistically significant（P<0.05）. Conclusion PHGD guided by B-ultrasound is superior to PPGD,followed by LC,which is used for the treatment of acute calculous cholecystitis.It has the advantages of short operation time,less intraoperative bleeding,and short hospital stay.It is worthy of clinical promotion.

Key words： Acute calculous cholecystitis Percutaneous transhepatic gallbladder drainage Percutaneous transabdominal gallbladder drainage Laparoscopic cholecystectomy Ultrasound Acute cholecystitis.

Received: 26 April 2022

PACS:

R657.4

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Wang Jinqiang. Compare the Effect of Percutaneous Transhepatic Gallbladder Drainage and Percutaneous Transperitoneal Gallbladder Drainage Guided by B-ultrasound on Subsequent Laparoscopic Cholecystectomy（LC）[J]. journal1, 2023, 43(2): 25-28.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2023.02.009 OR http://www.hrbyybjb.org.cn/EN/Y2023/V43/I2/25

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