摘要
目的:探讨经皮经肝胆穿刺引流术治疗急性坏死性胰腺炎的临床疗效。方法:选取近年来于我院治疗的急性坏死性胰腺炎患者35例为研究对象,全部患者均实施经皮经肝胆穿刺引流术进行治疗,对临床疗效进行观察分析。结果:穿刺72h后APACHE评分、白细胞计数、血胆红素均有明显下降,与穿刺前相比具有显著差异(P<0.05);穿刺后谷丙转氨酶与穿刺前无明显变化(P>0.05)。并发症发生率为14.3%,无一例患者感染恶化死亡。结论:经皮经肝胆穿刺引流术治疗急性坏死性胰腺炎,操作安全简捷,临床效果良好,在引流过程中对于胆道减压效果较好,患者治愈率高,并发症发生率低。
Objective：To evaluate the clinical efficacy of the effect for Percutaneous transhepatic puncture drainage in the treatment of acute necrotizing pancreatitis.Methods：35 patients in our hospital with acute necrotizing pancreatitis in recent years were chosen as the research object.All patients were taken with Percutaneous transhepatic puncture drainage for treatment.The clinical effect was taken for observation and analysis.Results：The APACHE score 72 hours after puncture,white blood cell count, serum bilirubin were significantly reduced.Compared with before the puncture,there was with significant difference （P〈0.05）. There was no significant change for the alanine aminotransferase after puncture than before puncture （P〉0.05）.The complication rate was 14.3%,no patients was infected deterioration with death.Conclusion：Percutaneous transhepatic puncture drainage in the treatment of acute necrotizing pancreatitis is safe and simple,the clinical effect is better.The biliary decompression in the drainage process is significant,and patients are with high cure rate and low complication rate.
出处
《中国医药导刊》
2014年第2期199-200,共2页
Chinese Journal of Medicinal Guide
关键词
急性坏死性胰腺炎
经皮经肝胆穿刺
引流术
临床疗效
Acute necrotizing pancreatitis
Percutaneous transhepatic puncture
Drainage
Clinical efficacy
