Clinical Application Of Percutaneous Gallbladder Catheterized Drainage Elderly Patients With Acute Cholecystitis

Objective: To summarize the clinical diagnosis and treatmentexperiences for senile acute cholecystitis patients and improve theknowledge about it．Explore percutaneous gallbladder catheterizeddrainage（PGCD） the clinical application in the treatment ofelderly patients with acute cholecystitis and compared the efficacyof laparoscopic cholecystectomy.Method: A retrospective analysis of clinical data under our hospitalfrom June2012to December2014period96cases of elderlypatients with acute cholecystitis, ultrasound percutaneousgallbladder catheterized drainage. From the operation, efficacy,complications and prognosis aspects were evaluated. And with thesame period of efficacy compared108patients who underwentlaparoscopic cholecystectomy were analyzed. Recorded thechanges of the temperature and white blood cell count before andafter the operation seven days, statistical analysis of both theaverage number. Contrast PGCD after elective laparoscopic cholecystectomy and laparoscopic cholecystectomy in patients withclinical data of patients, the calculation of postoperative morbidityand mortality were analyzed.Results:96patients ultrasound PGCD disposable catheter100percent success rate, postoperative quickly relieve symptoms.5patients in96patients with poor drainage, adjustment the drainagetube. Seven patients drainage tube falls off, do a second catheter.Of91patients with calculous cholecystitis in77patients undergoingelective cholecystectomy,14cases of catheter for a long time.5cases of patients without calculous cholecystitis4to7weeks afterextubation, cure the hospital. Body temperature and white bloodcell count after two groups of patients were significantly decreased.The temperature of PGCD group is lower than laparotomy group in1-3days after the operations（P＜0.05）, and there is no differencein5-7days after the operations（P＞0.05）. The white blood cellcount of PTCD group is lower than laparotomy group in1-3days（P＜0.05）,and there is no significant difference in5-7days（P＞0.05）.Elective laparoscopic cholecystectomy after PGCD patientmorbidity and mortality were lower than laparoscopiccholecystectomy patients (P <0.05).Conclusions:(1) Percutaneous gallbladder catheterized drainage (PGCD) as a simple, safe and effective way to treat elderly patients with acutecholecystitis, worthy of clinical application and application.(2) PGCD infection control in elderly patients with acutecholecystitis aspect effect is exact, in the short term effect issuperior to the laparoscopic cholecystectomy.(3) PGCD whether as interim emergency measures or primarytreatment, has important clinical applications.