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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
Efficacy of incision and drainage versus percutaneous catheter drainage in treatment of severe acute pancreatitis complicated by pancreatic abscess
文章发布日期:2016年02月06日  来源:  作者:阳凤,徐劲,罗旭娟,等  点击次数:1340次  下载次数:217次

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【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。
【Abstract】:ObjectiveTo investigate the clinical features and treatment of severe acute pancreatitis (SAP) complicated by pancreatic abscess (PA). MethodsThe 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. ResultsOf 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. ConclusionAdequate 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.
【关键字】:胰腺炎;脓肿;诊断;治疗
【Key words】:pancreatitis; abscess; diagnosis; therapy
【引证本文】:阳凤, 徐劲, 罗旭娟, 等. 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[J]. 临床肝胆病杂志, 2016, 32(3): 530-532.

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