Application value of percutaneous transhepatic gallbladder drainage guided by ultrasound in the treatment of acute biliary pancreatitis

ObjectiveTo explore the therapeutic value of percutaneous transhepatic gallbladder drainage(PTDG) guided by ultrasound in acute biliary pancreatitis.

MethodsA total of 128 patients with acute biliary pancreatitis were divided into the observation group(64 cases treatment with PTGD) and control group(64 cases treatment without PTGD), and two groups were treated with the same routine method.After treatment, the indicators(including the abdominal distension relief time, exhaust time, hospital stay, white cells count, glutamic amino transferase, total bilirubin, procalcitonin, lactic acid and Bahhazar CT score), and complications(including peripancreatic effusion, peripancreatic infection, pancreatic fistula, ARDS, MODS incidence of effusion, peripancreatic infection, pancreatic fistula and mortality) were compared between two groups.

ResultsCompared with the control group, the diarrhea remission time, exhaust time, peripancreatic effusion rate, peripancreatic infection rate and hospital stay in the observation group were low, and the differences of whose between two groups were statistically significant(P < 0.05 to P < 0.01).The differences of the pancreatic fistula rate, ARDS rate, MODS rate and mortality between two groups were not statistically significant(P>0.05).The differences of the WBC, ALT, bilirubin, PCT, lactic acid and Balthazar CT score between two groups on admission were not statistically significant(P>0.05), the levels of WBC, ALT, bilirubin, PCT and lactic acid in observation group were lower than those in control group after 3 d and 6 d of admission, and the Balthazar CT score was lower than that in observation group after 7 d of admission(P < 0.05 to P < 0.01).

ConclusionsPTGD is effective and safe, and can significantly improve the therapeutic effect of acute biliary pancreatitis.