切开引流术和经皮穿刺置管引流术治疗重症急性胰腺炎并发胰腺脓肿的疗效分析

阳凤; 徐劲; 罗旭娟; 彭燕

doi:10.3969/j.issn.1001-5256.2016.03.028

切开引流术和经皮穿刺置管引流术治疗重症急性胰腺炎并发胰腺脓肿的疗效分析

DOI: 10.3969/j.issn.1001-5256.2016.03.028

泸州医学院附属医院消化内科

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中图分类号: R657.5
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出版历程
- 出版日期: 2016-03-20

Efficacy of incision and drainage versus percutaneous catheter drainage in treatment of severe acute pancreatitis com-plicated by pancreatic abscess

Department of Gastroenterology, Affiliated Hospital of Luzhou Medical College

摘要

摘要: 目的探讨重症急性胰腺炎（SAP）并发胰腺脓肿（PA）的临床特征及治疗。方法回顾性分析2005年1月1日-2015年8月25日泸州医学院附属医院收治的17例SAP并发PA患者的临床资料。统计患者的临床表现、治疗措施及疗效。结果 17例患者中12例行外科手术治疗,其中9例治愈、1例术后并发肠瘘、2例脓肿复发再次手术（1例因多器官功能衰竭死亡）,平均住院时间（108.29±52.37）d;5例行经皮穿刺置管引流术,其中4例治愈,1例因引流不畅转外科手术治疗,平均住院时间（53.03±6.71）d。结论 PA一旦诊断成立应通畅引流,临床上应根据患者具体情况选择适合的引流方法。微创治疗疗效好,住院时间短,并发症少,值得推广。
- 胰腺炎 /
- 脓肿 /
- 诊断 /
- 治疗
Abstract: Objective To investigate the clinical features and treatment of severe acute pancreatitis( SAP) complicated by pancreatic abscess( PA). Methods The clinical data of 17 SAP patients with PA who were admitted to Affiliated Hospital of Luzhou Medical College from January 1,2005 to August 25,2015 were analyzed retrospectively. The clinical manifestations,therapeutic methods,and outcome were summarized. Results Of all the 17 patients,12 patients underwent surgical operation,among whom 9 were cured,1 experienced postoperative intestinal fistula,and 2 experienced recurrence of abscess and underwent the surgery again( 1 died of multiple organ failure),and the mean hospital stay was( 108. 29 ± 52. 37) d; 5 patients underwent percutaneous catheter drainage,among whom 4 were cured,and 1 underwent surgical treatment due to inadequate drainage,and the mean hospital stay was( 53. 03 ± 6. 71) d. Conclusion Adequate drainage should be performed once a confirmed diagnosis of PA is made,and appropriate drainage methods should be selected based on the patient's actual condition. Minimally invasive treatment has a good effect,a short length of hospital stay,and few complications,and holds promise for clinical application.
- pancreatitis /
- abscess /
- diagnosis /
- therapy

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