Research Article
Ultrasound-Guided Percutaneous Transhepatic Gallbladder Drainage Improves the Prognosis of Patients with Severe Acute Cholecystitis
Table 1
Baseline data of the severe acute cholecystitis patients included in this study.
| | Variables | PTGD (n = 14) | LC (n = 12) | OC (n = 8) | CT (n = 6) | P value |
| | Age (year) | 62.5 ± 12.0 | 63.3 ± 13.9 | 66.5 ± 9.9 | 60.8 ± 15.7 | NS | | Gender (male/female) | 6/8 | 7/5 | 3/5 | 3/3 | NS | | BMI (kg/m2) | 28.23 ± 5.02 | 26.78 ± 6.03 | 28.23 ± 6.93 | 26.03 ± 4.02 | NS |
| | Clinical symptoms/signs (n (%)) | | Fever/shivering | 10 (71.4) | 8 (66.7) | 5 (62.5) | 4 (66.7) | NS | | Right upper abdominal pain/tenderness | 13 (92.9) | 12 (100.0) | 7 (87.5) | 6 (100.0) | NS | | Diffuse pain/tenderness | 7 (50.0) | 5 (41.7) | 5 (62.5) | 2 (33.3) | NS | | Nausea/vomiting | 5 (35.7) | 4 (33.3) | 3 (37.5) | 3 (50.0) | NS | | Positive Murphy’s sign | 8 (57.1) | 5 (41.7) | 3 (37.5) | 3 (50.0) | NS | | Time from onset to admission (d) | 4.0 ± 1.5 | 3.5 ± 1.3 | 4.5 ± 1.7 | 4.3 ± 2.5 | NS |
| | Trigger (n (%)) | | Calculous | 10 (71.4) | 8 (66.7) | 7 (87.5) | 4 (66.7) | NS | | Noncalculous | 4 (28.6) | 4 (33.3) | 1 (12.5) | 2 (33.3) | NS | | Thickness of gallbladder wall (cm) | 0.68 ± 0.23 | 0.73 ± 0.26 | 0.66 ± 0.30 | 0.70 ± 0.34 | NS |
| | History of diseases (n (%)) | | Cardiovascular diseases | 9 (64.3) | 6 (50.0) | 5 (62.5) | 4 (66.7) | NS | | Lung diseases | 3 (21.4) | 2 (16.7) | 2 (25.0) | 1 (16.7) | NS | | Diabetes | 4 (28.6) | 2 (16.7) | 3 (37.5) | 2 (33.3) | NS | | Chronic kidney disease | 2 (14.3) | 1 (8.3) | 1 (12.5) | 1 (16.7) | NS |
| | ASA grade (n (%)) | | ≤II | 5 (35.7) | 4 (33.3) | 4 (50.0) | 2 (33.3) | NS | | III-IV | 9 (64.3) | 8 (66.7) | 4 (50.0) | 4 (66.7) | NS | | APACHE II score (point) | 15.6 ± 3.6 | 14.2 ± 4.5 | 13.6 ± 2.8 | 14.7 ± 3.5 | NS |
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Note: PTGD, percutaneous transhepatic gallbladder drainage; LC, laparoscopic cholecystectomy; OC: open cholecystostomy; CT, conventional conservative treatment; BMI, body mass index.
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