Abstract：Objective: To evaluate the safety and efficacy in the treatment of percutaneous gall bladder drainage(PTGD) for acute cholecystitis under the guidance of ultrasound combined with fluoroscopy. Methods: From 2009 through 2013, 118 cases of acute cholecystitis who were contraindicated to have cholecystectomy at the time of admission and were treated with PTGD under the guidance of ultrasound combined with X-ray fluoroscopy. Among these patients, 66 cases were acute calculous cholecystitis, 52 cases had non-calculous cholecystitis. The preoperative and postoperative clinical symptoms, laboratory tests, radiologic examinations were evaluated and compared. Results: The insertion of the disposable drainage catheter was succeeded in 116 cases at the first technical trial and in 2 patients it was succeeded by the second trial. Among the 66 cases of acute calculous cholecystitis cases, 45 cases(68.2%) were completely recovered had cholecystectomy thereafter, 12 asymtomatic cases(18.18%) who could not tolerate surgery and were given long-term catheterization, drainage catheter detached in 4 cases(6.0%), 5 cases(7.6%) died. While in the 52 cases of non-cauculous cholecystitis, after drainage for 3~4 weeks, cholangiography showed that 44 cases(84.6%) had no obstruction, after extubation were perfectly cured. Catheter detached in 5 cases(9.6%), 2 cases(3.8%) had long-term catheterization, 1 case(1.9%) died. Conclusions: PTGD under the guidance of ultrasound and fluoroscopy in the treatment of acute cholecystitis is simple, safe and effective. Prognosis in patients with non-calculous cholecystitis after percutaneous drainage was superior than that in patients with calculous cholecystitis.
2013, Vol. 24 
