文档介绍：肝 胆 胰 外 科 杂 志
第33卷第1期 ided into group A (replacement puncture method, 39 cases) and group B (one-step
puncture method, 55 cases). The levels of interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), high mobility
group protein-1 (HMGB-1) and cortisol (Cor) were compared between the two groups, and the postoperative
complications and drainage status were analyzed. Results The success rate of drainage (%) and the
incidence of postoperative complications (%) in group A were significantly better than those in group B
(%, %) (χ2=, ; P=, ); the levels of IL-6, HMGB-1, TNF-α and Cor in group A
were significantly lower than those in group B at 1 d and 3 d postoperative (P<). Conclusion For patients
with acute cholecystitis, replacement puncture drainage can increase the success rate of drainage, decrease the
degree of inflammation and stress level, and can prevent iatrogenic damage of gallbladder wall, reduce the
incidence of postoperative complications such as biliary fistula.
Key words acute cholecystitis; percutaneous gallbladder puncture and drainage; replacement puncture meth-
od; one-step puncture method
急性胆囊炎是指由于寄生虫、胆结石、细菌感 症状主要为体温升高、右上腹痛和黄疸。该病的发
染等因素引发的一