Observation of the clinical effect of gallbladder puncture and drainage guided by ultrasound in the treatment of elderly patients with acute severe cholecystitis

Abstract

Objective To study the effect of gallbladder puncture and drainage guided by ultrasound in the treatment of elderly patients with acute severe cholecystitis. Methods 71 elderly patients with acute severe cholecystitis were selected.All patients were treated with gallbladder puncture and drainage guided by ultrasound.The preoperative and postoperative signs were compared.The success rate of the tube, the rate of inflammation control, the number of patients with disease onset and selective cholecystectomy were recorded. Results The success rate of intubation of the acute non-calculous cholecystitis group and acute calculous cholecystitis group was 100.00%.The inflammatory control rate of acute non-calculous cholecystitis group was 97.29%, which of the acute calculous cholecystitis group was 97.05%, the difference was not statistically significant(χ2=0.004, P=0.952). The average control rate of inflammation was 97.18%.The acute non-calculous cholecystitis group had no elective cholecystectomy, and the acute calculous cholecystitis group had 10 patients undergoing elective cholecystectomy, there was significant difference(χ2=10.086, P=0.001). The acute non-calculous cholecystitis group had no complications, the acute calculous cholecystitis group had 2 cases of bleeding, but the difference was not statistically significant(χ2=2.240, P=0.135). Conclusion Gallbladder puncture and drainage guided by ultrasound can quickly relieve clinical symptoms, improve the success rate of surgery and reduce the clinical risk for the elderly with acute severe cholecystitis, it is a clinical priority and worth to be promoted in clinical. Key words: Cholecystitis; Ultrasound guided; Gallbladder puncture and drainage; Aged