中国实用外科杂志2012，Vol.32Issue(7)：568-570,3.
经皮穿刺置管引流治疗重症急性胰腺炎29例临床分析
Clinical study of percutaneous catheter drainage in 29 cases severe acute pancreatitis
潘杰 1石海峰 1李晓光 1张小波 1刘巍 1金征宇 1隆云 2廖泉 3杨宁1
作者信息
- 1. 中国医学科学院北京协和医学院北京协和医院放射科,北京100730
- 2. 中国医学科学院北京协和医学院北京协和医院ICU,北京100730
- 3. 中国医学科学院北京协和医学院北京协和医院基本外科,北京100730
- 折叠
摘要
Abstract
Objective The purpose of this study was to investigate the value and the timing of percutaneous catheter drainage in the treatment of severe acute pancreatitis. Methods We retrospectively studied the clinical data of 29 patients (18 men, 11 women; mean age, 38years; range, 23-79 years) with severe acute pancreatitis at Peking Union Medical College Hospital from January 2007to March 2012. All the patients underwent CT-guided percutaneous catheter drainage with 10-18 French catheters. Results Among 29 patients, 25(86.2%) were treated effectively with CT-guided percutaneous catheter drainage including 19 obviated the need for surgery and 5 underwent surgical intervention 14-49 days (mean 23 days) after drainage. 4 patients(13.8%) were not effectively treated with percutaneous catheter drainage, who were died from infection and organ failure. One patient had bleeding after drainage. Conclusions When severe acute pancreatitis patients could not have been successfully treated conservatively, the percutaneous catheter drainage could effectively control the sepsis caused by pancreatic necrosis and infection. It could act as a bridge to selective surgery and even obviate the need for surgery.关键词
经皮穿刺置管引流/CT/重症急性胰腺炎Key words
percutaneous catheter drainage, computed tomography, severe acute pancreatitis分类
医药卫生引用本文复制引用
潘杰,石海峰,李晓光,张小波,刘巍,金征宇,隆云,廖泉,杨宁..经皮穿刺置管引流治疗重症急性胰腺炎29例临床分析[J].中国实用外科杂志,2012,32(7):568-570,3.
