中国实用外科杂志2011，Vol.31Issue(11)：1041-1044,4.
经皮置管引流治疗重症急性胰腺炎合并胰腺坏死组织感染34例分析
Percutaneous catheter drainage for severe acute pancreatitis complicated with infective pancreatic necrosis: an analysis of 34 cases
童智慧 1倪海滨 1孙加奎 1李宁 1黎介寿 1李维勤 1虞文魁 1王新颖 1叶向红 1聂垚 1柯路 1徐晓帆 1鲁俊1
作者信息
- 1. 南京大学医学院南京军区南京总医院普通外科研究所,江苏南京210002
- 折叠
摘要
Abstract
Objective To analyze the clinical effectiveness of percutaneous US- or CT- guided catheter drainage (PCD) for severe acute pancreatitis complicated with infective pancreatic necrosis and the possible influencing factors. Methods The clinical data of 34 cases of infective pancreatic necrosis treated by PCD from January 2008 to February 2010 in Jinling Hospital, Medicine School of Nanjing University were analyzed retrospective. All of them received PCD as the first choice for treatment. After that, they were divided into two groups according to different clinical effectiveness of PCD. The two groups were compared for demographics, systemic and local complications and clinical outcomes. Results Ninteen of the 34 cases were cured through PCD alone (55.9%). Additionally, the number of catheter used for drainage and bacterial culture result were also similar between the two groups. Only the CT value and distribution range of infective pancreatic necrosis were different between them. The logistic regression analysis revealed similar results too. Conclusion The CT value and distribution range of infective pancreatic necrosis could influence the success rate of PCD significantly and should be serious considered before the treatment decision.关键词
胰腺炎/胰腺坏死组织感染/经皮置管引流Key words
severe acute pancreatitis/ infective pancreatic necrosis/ percutaneous catheter drainage/ influencing factor分类
医药卫生引用本文复制引用
童智慧,倪海滨,孙加奎,李宁,黎介寿,李维勤,虞文魁,王新颖,叶向红,聂垚,柯路,徐晓帆,鲁俊..经皮置管引流治疗重症急性胰腺炎合并胰腺坏死组织感染34例分析[J].中国实用外科杂志,2011,31(11):1041-1044,4.
