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感染性胰腺坏死内镜下引流清创的时机及技术要点

何文华 祝荫

中国实用外科杂志2024,Vol.44Issue(5):521-524,4.
中国实用外科杂志2024,Vol.44Issue(5):521-524,4.DOI:10.19538/j.cjps.issn1005-2208.2024.05.07

感染性胰腺坏死内镜下引流清创的时机及技术要点

Key issues in endoscopic drainage and debridement treatment in acute necrotizing pancreatitis

何文华 1祝荫1

作者信息

  • 1. 南昌大学第一附属医院消化内科胰腺疾病诊治中心,江西南昌 330006
  • 折叠

摘要

Abstract

Infected pancreatic necrosis is a major local complication in the later stages of acute necrotizing pancreatitis,and it is the main cause of prolonged hospitalization and death.Minimally invasive step-up therapy is currently considered superior to traditional open surgery,and endoscopic step-up therapy is internationally recommended as the preferred intervention method because it has fewer complications,less hospitalization time,and less hospitalization cost than minimally invasive surgical procedures.Minimally invasive step-up therapy includes initial endoscopic transmural drainage or percutaneous drainage,and endoscopic transgastric necrosectomy,video-assisted retroperitoneal debridement,or sinus tract endoscopy if necessary.

关键词

急性坏死性胰腺炎/包裹性坏死/内镜治疗

Key words

acute necrotizing pancreatitis/walled-off necro-sis/endoscopic therapy

分类

医药卫生

引用本文复制引用

何文华,祝荫..感染性胰腺坏死内镜下引流清创的时机及技术要点[J].中国实用外科杂志,2024,44(5):521-524,4.

基金项目

国家自然科学基金项目(No.81860122) (No.81860122)

江西省杰出青年人才资助计划项目(No.20192BCBL23021) (No.20192BCBL23021)

江西省重点研发计划项目(No.20202BBGL73016) (No.20202BBGL73016)

江西省卫计委科技计划项目(No.20191015,No.202130283) (No.20191015,No.202130283)

中国实用外科杂志

OA北大核心CSTPCD

1005-2208

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