摘要
目的探讨超声引导下经皮穿刺置管引流(PCD)治疗重症急性胰腺炎(SAP)急性胰周液体积聚的临床疗效及应用价值。方法将该院2006年1月至2009年12月收治的43例有手术指征的SAP急性胰周液体积聚病例随机分为开腹组(20)和PCD组(23例),前瞻性随机对照研究两组患者的C-反应蛋白(CRP)恢复至正常时间、住院时间、并发症发生率和病死率。结果与开腹手术相比较,PCD可明显减少CRP恢复至正常时间、住院时间、并发症的发生率及SAP病死率(P<0.05)。结论超声引导下PCD操作简单、安全,治疗SAP急性胰周液体积聚成功率高。
Objective To explore the clinical efficacy and application value of ultrasound-guided percutaneous catheter drainage（PCD） in treatment of acute peripancreatic fluid collections in severe acute pancreatitis（SAP）.Methods 43 cases of SAP with acute peripancreatic fluid collections and surgical indications hospitalized during January 2006 and December 2009 were randomly divided into open surgery group（n=20） and PCD group（n=23）.A prospective,randomized,controlled trial was employed to study the period required for restoration of normal C-reactive protein（CRP） level,length of hospital stay,incidence of complications and mortality.Results Compared with open surgery,PCD significantly reduced the period required for restoration of normal CRP level（P0.01）,the length of hospital stay,incidence of complications and mortality of SAP（P0.05）.Conclusion Ultrasound-guided PCD is a simple and safe operation which possesses high success rate of treatment of acute peripancreatic fluid collection in SAP.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第35期3543-3544,3547,共3页
Chongqing medicine
关键词
胰腺炎
急性坏死性
超声检查
引流术
外科手术
微创性
pancreatitis
acute necrotizing
ultrasonography
drainage
surgical procedures
minimally invasive
