感染性胰腺坏死的微创治疗进展

发布时间：2018-02-01 04:18

本文关键词： 胰腺疾病引流术腹腔镜外科手术微创性综述　出处：《临床肝胆病杂志》2017年04期 　论文类型：期刊论文

【摘要】：感染性胰腺坏死(IPN)是急性胰腺炎中一个具有挑战性的并发症,易导致预后不良。多年来,传统开腹坏死组织清除术已经成为IPN的主要治疗方式,但同时也伴随着较高的并发症发生率和病死率。近几年,随着微创外科的迅猛发展,许多学者对IPN患者进行了微创治疗并获得了良好的治疗效果。介绍了经皮穿刺置管引流术、微创腹膜后坏死组织清除术、内镜下引流+坏死组织清除术、腹腔镜坏死组织清除术、"进阶式"治疗策略等5种常见的微创治疗技术,认为不同的微创技术具有不同的适应证,应根据IPN患者的综合情况选择最佳的微创治疗方法以提高疗效。
[Abstract]:Infectious pancreatic necrosis (IPN) is a challenging complication in acute pancreatitis, which can easily lead to poor prognosis. For many years, traditional open necrotizing tissue clearance has become the main treatment of IPN. In recent years, with the rapid development of minimally invasive surgery. Many scholars have done minimally invasive treatment for IPN patients and achieved good results. This paper introduces percutaneous catheter drainage, minimally invasive retroperitoneal necrotic tissue clearance, endoscopic drainage of necrotic tissue clearance. Five common minimally invasive treatment techniques, such as laparoscopic necrotic tissue clearance and "advanced" treatment strategy, were suggested that different minimally invasive techniques had different indications. According to the comprehensive condition of IPN patients, the best minimally invasive treatment should be selected to improve the efficacy.
【作者单位】：延安大学附属医院肝胆外科;
【分类号】：R657.51
【正文快照】： 急性胰腺炎中约有10%~20%的患者会发生胰腺坏死,其中40%~70%为感染性胰腺坏死(infectedpancereatic necrosis,IPN),是最重要的致死因素。IPN的治疗原则是最大程度地清除感染坏死灶、保留健康有活力的胰腺组织以及加强对坏死脓液的充分引流。对感染坏死病灶处理时机和方式的正

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