II型胆囊穿孔致肝脓肿3例报告并文献复习

任少雄; 梁泽; 韩景钊; 脱红芳; 彭彦辉

doi:10.3969/j.issn.1001-5256.2022.04.031

II型胆囊穿孔致肝脓肿3例报告并文献复习

DOI: 10.3969/j.issn.1001-5256.2022.04.031

任少雄^{1, 2},
梁泽²,
韩景钊^{1, 2},
脱红芳²,
彭彦辉^2, , ,

1.
河北医科大学研究生学院，石家庄 050017
2.
河北省人民医院肝胆胰脾外科，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)

伦理学声明：本报告均已获得患者知情同意。

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：任少雄负责资料分析，撰写论文; 梁泽、韩景钊负责课题设计，参与收集数据; 脱红芳负责修改论文，拟定写作思路; 彭彦辉负责指导撰写文章并最后定稿。

详细信息

通信作者:
彭彦辉，yhpeng1858@sina.com

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出版历程
- 收稿日期: 2021-08-16
- 出版日期: 2022-04-20

Liver abscess caused by type II gallbladder perforation: A report of 3 cases and literature review

Shaoxiong REN^{1, 2},
Ze LIANG²,
Jingzhao HAN^{1, 2},
Hongfang TUO²,
Yanhui PENG^{2
, ,
,}

1.
Graduate School of Hebei Medical University, Shijiazhuang 050017, China
2.
Department of Hepatobiliary, Pancreatic, and Splenic Surgery, Hebei General Hospital, Shijiazhuang 050051, China

Research funding:

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

More Information

Corresponding author: PENG Yanhui, yhpeng1858@sina.com(ORCID: 0000-0002-1915-3002)

摘要

- 胆囊穿孔 /
- 肝脓肿 /
- 胆囊切除术
- Gallbladder Perforation /
- Liver Abscess /
- Cholecystectomy

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图 1 两次肝脏CT及MR对比

注：a，第一次肝脏CT; b，第一次肝脏MR; c，第二次肝脏CT; d，第二次肝脏MR。

Figure 1. The comparison of twice liver CT and MR

下载: 全尺寸图片幻灯片

图 2 术中肝脓肿取石及胆囊结石

注：a，术中可见胆囊结石; b，取出结石。

Figure 2. Intraoperative stone removal from liver abscess and gallstone

下载: 全尺寸图片幻灯片

图 3 两次住院肝脏CT对比

注：a，第一次住院肝脏CT; b，第二次住院肝脏CT。

Figure 3. Comparison of liver CT in two hospitalizations

下载: 全尺寸图片幻灯片

图 4 第一次入院、行胆囊穿刺后及术前肝脏CT

注：a，第一次入院肝脏CT; b，行胆囊穿刺后肝脏CT; c，手术治疗前肝脏CT。

Figure 4. Liver CT after the first admission, gallbladder puncture and before operation

下载: 全尺寸图片幻灯片

表 1 胆囊穿孔致肝脓肿诊疗汇总

Table 1. Summary of diagnosis and treatment of liver abscess caused by gallbladder perforation

第一作者	报道年份	例数	性别	年龄	症状持续时间	治疗方案	术后住院天数(d)
Kang MS^[12]	2007	1	男	70岁		ERCP下放置胆囊管支架(因患者无法耐受全麻，未行根治性手术)	10
Kochar K^[13]	2008	1	男	67岁	3 d	经皮经肝胆囊穿刺3周后+ 开腹胆囊切除术
Göbel T^[14]	2011	1	女	30岁	2 d	早期胆囊切除术(腹腔镜、开放手术文中未提及)	36
Bhatwal AS^[15]	2013	1	男	60岁	6 d	经皮经肝胆囊穿刺术后3天后+开腹胆囊切除术	8
Kamalesh NP^[16]	2012	1	女	70岁	1个月	经皮经肝胆囊穿刺术+LC
Agarwal N^[17]	2013	3	男	18岁	3周	早期腹腔镜手术中转开腹，逆行胆囊次全切除
			男	40岁	2 d	早期LC
			男	42岁	4个月	早期LC
Singh K^[8]	2013	1	男	50岁	1年	开腹胆囊大部分切除术	8
Alessiani M^[18]	2014	1	男	77岁		经皮经肝胆囊穿刺(因患者无法耐受全麻，未行根治性手术)
Cristian D^[10]	2014	1	男	76岁	2周	LC	5
Donati M^[19]	2014	1	男	62岁	1年	腹腔镜探查+开腹肝部分切除+胆囊切除+脓肿清除术	4
Hanson B^[20]	2014	1	男	62岁		经皮经肝胆囊穿刺(患者终末期肝病，不耐受手术)
Hussain T^[1]	2016	2	男	72岁	12 d	经皮经肝胆囊穿刺+延期LC(延期时间未提及)
			女	62岁	2周	经皮经肝胆囊穿刺+延期LC(延期时间未提及)
Williams P^[5]	2017	1	男	61岁		ERCP下放置胆囊管支架+6周后行LC
Nikumbh T^[21]	2020	2	男	55岁	10 d	腹腔镜胆囊次全切除
			女	28岁		腹腔镜胆囊次全切除
Chikamori F^[22]	2020	1	男	87岁		经皮肝胆囊穿刺	33
注：LC，腹腔镜下胆囊切除术; ERCP，经内镜逆行胰胆管造影术。

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参考文献(26)

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