ptgd

Objective To summarize the experience drawn from treatment of elderly and high-risk patients with acute cholecystitis by ultrasound-guided percutaneous transhepatic gallbladder drainage ( PTGD ) .

目的总结B超引导下经皮经肝胆囊穿刺引流（PTGD）对高龄高危急性胆囊炎病人的治疗经验。

Conclusions Ultrasound-guided PTGD / PTBD is an effective alternative for bile duct drainage , with advantages of minimal invasion , simplicity and accurateness of performance , safety and fewer complications . It presents much clinical value for hepatobiliary diseases , especially acute cholecystitis .

结论超声引导下PTGD/PTBD是胆道引流的有效方法，具有创伤小，操作简便、准确、安全，并发症少等优点，在肝胆系疾病，尤其是急性胆囊炎具有较大的临床应用价值。

Methods A total of 68 times of ultrasound-guided PTGD / PTBD were performed in 60 patients from December 2000 to December 2003 , including 15 cases of acute pyogenic cholecystitis , 8 cases of acute severe cholangitis and 37 cases of malignant obstructive jaundice .

方法从2000年12月至2003年12月在超声引导下对60例患者施行PTGD/PTBD68例次，其中急性化脓性胆囊炎15例，急性重症胆管炎8例，各种恶性梗阻性黄疸37例。