CT引导下经皮穿刺置管引流术与开腹引流术治疗重症急性胰腺炎继发胰腺周围脓肿的临床疗效

发布时间：2018-11-28 07:01

【摘要】：目的探究CT引导下经皮穿刺置管引流术与开腹引流术治疗重症急性胰腺炎(SAP)继发胰腺周围脓肿(简称胰周脓肿)的临床疗效。方法选择2011年6月至2015年6月该院收治的SAP继发胰周脓肿患者48例,根据治疗方式分为观察组(25例)和对照组(23例),观察组给予CT引导下经皮穿刺置管引流术治疗,对照组给予开腹引流术治疗。观察并记录两组患者血淀粉酶恢复至正常时间、恢复饮食的时间、症状及体征消失时间、住院总时间、治疗有效率及并发症发生情况。结果治疗后观察组患者血淀粉酶恢复正常时间、恢复饮食时间、症状体征消失时间及总住院时间均显著低于对照组(P0.05);治疗的总有效率显著高于对照组(P0.05);治疗期间观察组并发症发生率显著低于对照组(P0.05)。结论 CT引导下经皮穿刺置管引流术治疗SAP继发胰周脓肿的效果较好,安全性高,值得临床推广应用。
[Abstract]:Objective to investigate the clinical effect of CT guided percutaneous catheter drainage and open drainage in the treatment of peripancreatic abscess secondary to severe acute pancreatitis (SAP). Methods from June 2011 to June 2015, 48 patients with peripancreatic abscess secondary to SAP were divided into observation group (n = 25) and control group (n = 23). The observation group was treated with CT guided percutaneous catheterization and drainage. The control group was treated with laparotomy and drainage. The time of recovery of serum amylase to normal, the time of recovery of diet, the time of disappearance of symptoms and signs, the total time of hospitalization, the effective rate of treatment and the occurrence of complications were observed and recorded. Results after treatment, the serum amylase recovery time, diet recovery time, symptom and sign disappearance time and total hospital stay in the observation group were significantly lower than those in the control group (P0.05), the total effective rate of treatment was significantly higher than that of the control group (P0.05). The incidence of complications in the observation group was significantly lower than that in the control group during treatment (P0.05). Conclusion CT guided percutaneous catheterization and drainage is effective and safe in the treatment of peripancreatic abscess secondary to SAP.
【作者单位】：邢台市人民医院肝胆外科;邢台市人民医院神经内科;
【基金】：邢台市科技计划项目(No.2015ZC089)
【分类号】：R657.51

【相似文献】