摘要
目的总结ERCP术后并发胰周及腹膜后脓肿的非手术处理方法并评价其临床应用价值。方法该组共收集2000年以来笔者遇到的5例ERCP后并发胰周及后腹膜脓肿的病人，所有病例均采用B超或CT引导下穿刺、于脓肿最低位处置入菊花头引流管引流。非手术处理还包括抗炎、抑酶药物的使用等。结果所有病人均经引流等治疗后痊愈，引流时间在20～90d不等，平均引流时间为52．4d。总住院时间在35～165d不等。平均91．8d，无一例中转手术治疗。结论穿刺引流术治疗ERCP术后造成的胰周脓肿或后腹膜脓肿安全有效，具有创伤小、痛苦轻、恢复快、并发症少等优点。穿刺点应尽可能选定在脓肿的最低位，可达到最佳的引流效果。
Objective To investigate the technique and clinic value o[ non operation management for ERCP-related peripancreatic and retroperitoneal abscess. Methods Five patients with post-ERCP peripancreatic and retroperitoneal abscess were reviewed. Guided by ultrasonic or CT, all the 5 pa tients underwent puncture and the drainage tube was disposed to the lowest place of abscess. Non operation managements for patients also included the use of anti inflammatory drugs and enzyme activity inhibition drugs. Results All patients responded to the draining treatment and discharged from hospi tal after complete recovery. There was no conversion to surgical intervention. Mean draining duration was 52.4（20-90）d and average hospital stay was 91.8（35-165）d. Conclusion Puncture and drainage management is an effective and safe approach for post-ERCP peripancreatic and retroperitoneal abscess. It has advantages of less trauma, less pain, fast recovery and low rate of complications. Puncture point should be situated at the bottom or lowest position of abscess and drainage can achieve the best results.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2009年第7期506-508,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
手术后并发症
ERCP
脓肿形成
非手术
Pastoperative complication
ERCP
Abscess formation
Non operation
