欢迎来到天天文库
浏览记录
ID:33720838
大小:1.02 MB
页数:35页
时间:2019-02-28
《经皮经肝胆囊穿刺引流术联合腹腔镜胆囊切除序贯微创治疗高危急性胆囊炎》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、浙江大学硕士学位论文经皮经肝胆囊穿刺引流术联合腹腔镜胆囊切除序贯微创治疗高危急性胆囊炎姓名:陈健申请学位级别:硕士专业:外科学指导教师:李立波201202浙江大学硕士学位论文中文摘要经皮经肝胆囊穿刺引流术联合腹腔镜胆囊切除序贯微创治疗高危急性胆囊炎浙江大学医学院硕士研究生导师弋r”r外科学(普通外科)陈健李立波中文摘要目的探讨经皮经肝胆囊穿刺引流术(percut肌eouS咖shepaticgallbladderdraillage,PTGBD)联合腹腔镜胆囊切除术(1印amscopiccholecystecto
2、my,LC)序贯微创治疗高危急性胆囊炎的临床价值。方法回顾性分析2006—2010年78例高危急性胆囊炎患者的临床资料,评估PTGBD技术的应用价值;并根据在LC之前是否行PTGBD治疗分成两组:行PTGBD治疗组和未行PTGBD治疗组,比较这两组病人的治疗结果。结果78例高危急性胆囊炎患者中尝试行PTGBD治疗的有3l例,31例患者全部穿刺置管成功,29例(94%)患者行PTGBD治疗后72小时内症状有了明显的缓解;并发症有3例(10%),导管脱落2例(予以重新穿刺置管);出血l例(予以输血、补液等对症治疗
3、).PTGBD术后3—9周(平均6周)有25例患者再次入院择期行LC治疗,PTGBD组在手术平均时间、术中失血量、中转开腹率、术后并发症率及术后住院时问等方面均较N0n.PTGBD组有明显优势(p4、刺引流术;腹腔镜胆囊切除术;高危急性胆囊炎。浙江大学硕上学位论文英文摘要PercutaneoustranshepaticgaUbladderdrainagecombinedoJ■■●■●J’■’■■WltnIapar0SCODlCCn0IeCVSteCtomySeqUentlalmlnlma儿yinvasivef10racutecholecVstitsinhi2h-riskpatientslnVaSlVe10raCUteCnoleCVSnlSlnn12n-rlSKpanentSDep叭mentofGenera5、lSwgeⅨA衔liatedSir烈mIt吼ShawHospital,CollegeofMedicine,ZhejiangUniVers时PostgraduateJianChenSupervisorLiboLiAbstractobjectiVeT0s硼[1IIl撕zetlleexpedenCeofusingpercutaIleouStraJlShepaticgaJlbladderdrajnage(PTGBD)followedbyl印aroscopiccholecystectomy(LC)iIltlle訇rea6、nIlemof孔utecholecystitisiIllligh—riskpatients.MethodsWerevie、Ⅳedclinicalda_taof78patientS蜥tlllli曲·risk∞utecholecystitis洫ollrhospitalbe眦en2006锄d20l0.As∞sSment恤砌眦ofPTGBD妣llIlolo卧Accordingt0whetIlergotmePTGBD豫I恤ent,tlleywe咒diVidedint0PTGBDgroup锄dnon-PTGBDgroup7、.Resul侮11le陀were3lpatientSc甜巧outmePTGBD们annentiIltlletotm78patie吣,asuccess伽tube泌叭ion吣犹tlieVediIlall刚e鹏ofPTGBDgroup,恤s)rlllptom舳issionin29patientS(94%)埘thin72hours撕erg羽lbladderdmi腿ge.mdislodgememofdr缸mgetube0Cc州iIl2c弱es,锄dh扯mo丌】}lage0CcurrediIllca辩.ⅣARerPTGB8、D25patientsunderwentadelayedLC,3patientsofmemconVerset0opencholecyStectomy.Comparedwiththenon·PTGBDgroup,thePTGBDgroupshowedshorterLCtime,Iessbloodloss,lowerconversionmte,lowercomplication锄dlesshoSpita
4、刺引流术;腹腔镜胆囊切除术;高危急性胆囊炎。浙江大学硕上学位论文英文摘要PercutaneoustranshepaticgaUbladderdrainagecombinedoJ■■●■●J’■’■■WltnIapar0SCODlCCn0IeCVSteCtomySeqUentlalmlnlma儿yinvasivef10racutecholecVstitsinhi2h-riskpatientslnVaSlVe10raCUteCnoleCVSnlSlnn12n-rlSKpanentSDep叭mentofGenera
5、lSwgeⅨA衔liatedSir烈mIt吼ShawHospital,CollegeofMedicine,ZhejiangUniVers时PostgraduateJianChenSupervisorLiboLiAbstractobjectiVeT0s硼[1IIl撕zetlleexpedenCeofusingpercutaIleouStraJlShepaticgaJlbladderdrajnage(PTGBD)followedbyl印aroscopiccholecystectomy(LC)iIltlle訇rea
6、nIlemof孔utecholecystitisiIllligh—riskpatients.MethodsWerevie、Ⅳedclinicalda_taof78patientS蜥tlllli曲·risk∞utecholecystitis洫ollrhospitalbe眦en2006锄d20l0.As∞sSment恤砌眦ofPTGBD妣llIlolo卧Accordingt0whetIlergotmePTGBD豫I恤ent,tlleywe咒diVidedint0PTGBDgroup锄dnon-PTGBDgroup
7、.Resul侮11le陀were3lpatientSc甜巧outmePTGBD们annentiIltlletotm78patie吣,asuccess伽tube泌叭ion吣犹tlieVediIlall刚e鹏ofPTGBDgroup,恤s)rlllptom舳issionin29patientS(94%)埘thin72hours撕erg羽lbladderdmi腿ge.mdislodgememofdr缸mgetube0Cc州iIl2c弱es,锄dh扯mo丌】}lage0CcurrediIllca辩.ⅣARerPTGB
8、D25patientsunderwentadelayedLC,3patientsofmemconVerset0opencholecyStectomy.Comparedwiththenon·PTGBDgroup,thePTGBDgroupshowedshorterLCtime,Iessbloodloss,lowerconversionmte,lowercomplication锄dlesshoSpita
此文档下载收益归作者所有