论文部分内容阅读
目的分析急性梗阻性化脓性胆管炎(AOSC)的手术治疗方法,为临床手术策略提供参考。方法对我院自2008年5月至2010年12月收治的56例AOSC患者的临床资料进行回顾性分析,分析外科手术治疗方法,观察治疗效果。结果本组行胆总管探查及引流术53例,经皮肝穿刺置管引流3例,联合胆囊造口术2例。手术均获成功,无手术中死亡病例。术后好转54例,死亡2例(均死于多器官功能衰竭),术后切口感染1例,经抗感染治疗痊愈。本组好转率为96.4%,病死率为3.6%。结论及时解除胆道梗阻并引流是手术治疗的主要目的,同时在外科手术治疗前后配合保守治疗可提高治疗效果。
Objective To analyze the surgical treatment of acute obstructive suppurative cholangitis (AOSC) and provide reference for clinical surgical strategies. Methods The clinical data of 56 patients with AOSC admitted from May 2008 to December 2010 in our hospital were retrospectively analyzed. The surgical treatment methods were analyzed and the therapeutic effect was observed. Results The group of common bile duct exploration and drainage in 53 cases, percutaneous transhepatic catheter drainage in 3 cases, combined with gallbladder ostomy in 2 cases. Surgery was successful, no case of death in surgery. Postoperative improvement in 54 cases, 2 deaths (both died of multiple organ failure), incision infection in 1 case, cured by anti-infective therapy. The improvement rate was 96.4% in this group, the case fatality rate was 3.6%. Conclusion The timely removal of biliary obstruction and drainage is the main purpose of surgical treatment, and at the same time with conservative treatment before and after surgical treatment can improve the therapeutic effect.