Jimu news reporter Liu Xun
Correspondent Wu Lizhi Jin Xu
85-year-old Cheng mother-in-law (pseudonym) suddenly had acute cholecystitis, a lot of pus in the gallbladder, and there was a risk of perforation at any time. Ultrasound and hepatobiliary surgery experts from the West Hospital of Wuhan Union Hospital joined hands to drain a very fine catheter bedside gallbladder puncture catheter under ultrasound guidance, which effectively alleviated the pain of Cheng's mother-in-law and avoided gallbladder perforation.
On April 8, the 85-year-old Cheng mother-in-law' family lived in Wuhan's Economic Development Zone, and on April 8, the old man's right abdomen suddenly had a sharp pain, and he was immediately sent by his family to the West Branch of Wuhan Union Hospital for treatment. After ultrasonography, the elderly were diagnosed with acute cholecystitis, and the gallbladder was obviously large, and there was a short-term risk of perforation of the gallbladder, which would be life-threatening once it occurred.
Ultrasound B shows a large gallbladder, poor bile translucency, and stones are visible
Professor Wang Shaote designed the puncture path before surgery
Due to the advanced age of the mother-in-law, the heart condition is not good, there is a fluid accumulation in the chest cavity, the blood pressure is high, and a number of blood examination indicators are also abnormal, if the gallbladder is directly removed, the risk is higher. After the multidisciplinary consultation of the hospital, the surgical method with less trauma was selected, that is, ultrasound-guided gallbladder puncture catheter drainage. At that time, Professor Wang Shaote, who was in the hospital area of Union Hospital, immediately rushed back to the West Campus and led the doctors of the ultrasound intervention group to implement a precise catheter drainage for the elderly next to the hepatobiliary surgery bed of the hospital, and the pain relief was obvious.
Specialist surgery under ultrasound guidance
Professor Wang Shaote introduced that the gallbladder puncture catheter drainage is guided by ultrasound in real time, through the skin and part of the liver, and a drainage tube with a diameter of 2-3 mm is placed in the gallbladder cavity, and the high-pressure pus in the gallbladder is introduced to the outside of the body, which can alleviate the pain of patients. Postoperative re-examination, the bile in the gallbladder of the elderly is significantly reduced, and the drainage tube will continue to drain the bile, and gradually the bile will gradually turn from purulent to normal, and the systemic inflammatory response and liver function damage will also be alleviated.
"Acute cholecystitis is one of the common causes of acute abdominal pain in elderly patients, and it is very easy to delay diagnosis due to the long medical history and atypical clinical symptoms in the elderly." Professor Wang Shaote said that such patients have more underlying diseases, the condition is often complex and rapid progression, such as not timely diagnosis and treatment, prone to serious complications such as gallbladder gangrene and perforation.
After surgery, about 400 ml of bile is drained
The same-day follow-up ultrasound showed a reduction in the volume of the gallbladder and a significant decrease in intracapsular bile
At present, in addition to routinely carrying out ultrasound-guided puncture cytology examination and biopsy, ultrasound-guided inferior vena cava filter insertion, ultrasound-guided inferior vena cava thrombolysis, ultrasound-guided inferior vena cava thrombolysis, ultrasound-guided varices, hemangioma, lymphangioma, pseudo-aneurysm hardening treatment, prostate puncture biopsy and other interventional projects, the interventional team of the Western Branch of Union Hospital also jointly carries out interventional treatment such as ultrasound-guided puncture cyst sclerosis treatment, ultrasound-guided puncture tumor injection hardening treatment, and ultrasonic puncture catheter drainage. Escort the health of the people in the southwest region of Wuhan.