【摘 要】目的：探究经皮肝胆囊穿刺引流术联合腹腔镜胆囊切除手术治疗急性重症胆囊炎的临床疗效。方法：选取2016年1月2018年1月间我院收治的急性重症胆囊炎患者80例进行实验研究，根据患者入院时间的先后顺序将患者均手术分为实验组与对照组，各40例，实验组患者采用PTGBD联合LC治疗，对照组患者LC治疗。结果：实验组患者的进食时间、术中出血量、并发症发生率显著优于对照组，差异具有统计学意义(P<0.05)；结论：经皮肝胆囊穿刺引流术联合腹腔镜胆囊切除手术治疗急性重症胆囊炎效果良好，值得推广。

    【关键词】经皮肝胆囊穿刺引流术；腹腔镜胆囊切除手术；急性重症胆囊炎

    Abstract objective： to explore the clinical efficacy of percutaneous transhepatic gallbladder drainage combined with laparoscopic cholecystectomy in the treatment of acute and severe cholecystitis. Methods： a total of 80 cases of patients with acute severe cholecystitis admitted to our hospital in January 2016 and January 2018 were selected for experimental study. According to the sequence of admission time ......