经皮胆囊造瘘术治疗急性胆囊炎的研究进展

韩景钊; 脱红芳; 王泽普; 彭彦辉

doi:10.3969/j.issn.1001-5256.2021.08.052

经皮胆囊造瘘术治疗急性胆囊炎的研究进展

DOI: 10.3969/j.issn.1001-5256.2021.08.052

韩景钊^{1, 2},
脱红芳²,
王泽普²,
彭彦辉^2, ,

1.
河北医科大学研究生院，石家庄 050000
2.
河北省人民医院肝胆外科，石家庄 050051

基金项目:

河北省2016年政府资助临床医学优秀人才培养和基础课题研究项目 (361003)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：韩景钊负责课题设计，撰写论文；脱红芳、王泽普参与修改论文；彭彦辉负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

通信作者:
彭彦辉，yhpeng@hebmu.edu.cn

中图分类号: R575.61
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- 被引次数: 0
出版历程
- 收稿日期: 2020-12-29
- 录用日期: 2021-02-03
- 出版日期: 2021-08-20

Research advances in percutaneous cholecystostomy in treatment of acute cholecystitis

1.
Graduate School of Hebei Medical University, Shijiazhuang 050000, China
2.
Department of Hepatobiliary Surgery, Hebei General Hospital, Shijiazhuang 050051, China

Research funding:

The 2016 Clinical Medicine Talents Training and Basic Research Project of Hebei Provincial Government (361003)

摘要

摘要: 急性胆囊炎是肝胆外科常见急腹症，腹腔镜胆囊切除术是其首选治疗方式。对不适合手术治疗的胆囊炎患者，经皮胆囊造瘘引流起着至关重要的作用。该技术具有良好安全性，可用作通向择期手术的桥梁或部分高危患者的最终治疗。但是，目前各单位对该技术管理经验不同。因此，综述了经皮胆囊造瘘术在适应证、治疗时机和管理方面研究进展，为临床规范使用提供依据。
- 胆囊炎, 急性 /
- 经皮胆囊造瘘术 /
- 腹腔镜
Abstract: Acute cholecystitis is a common acute abdominal disease in hepatobiliary surgery, and laparoscopic cholecystectomy is the preferred treatment method for this disease. Percutaneous cholecystostomy for drainage plays a vital role in management of patients with cholecystitis who are unsuitable for surgery. This technique has good safety and can be used as a bridge to elective cholecystectomy or as a final treatment for some high-risk patients. However at present, the experience in the management of this technique varies across institutions. Therefore, this article reviews the research advances in percutaneous cholecystostomy in terms of indication, treatment timing, and management, so as to provide a basis for standard clinical use.
- Cholecystitis, Acute /
- Percutaneous Cholecystostomy /
- Laparoscopes

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表 1 PC至LC的时间间隔及临床结果

第一作者	PC至LC时间		早期手术组vs晚期手术组
第一作者	早期组	延迟组	术中出血量	手术时间	并发症发生率	中转开腹率	术后住院时间	总住院时间	住院费用	造瘘管相关并发症
Han^[33]	＜72 h	≥72 h		+	+	±		-	-
Choi^[34]	＜72 h	≥5 d	+	+
Jung^[35]	＜10 d	≥10 d		±	±	±	±			-
Tanaka^[36]	＜14 d	≥14 d	+
Altieri^[37]	＜60 d	≥60 d			+			+
注：+，早期手术组值大；-，延迟手术组值大；±，差异无统计学意义。

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参考文献(43)

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