超声引导下经皮经肝穿刺胆囊置管引流术治疗急性胆源性胰腺炎

发布时间：2018-02-03 10:45

  本文关键词： 胰腺炎 超声检查 经皮肝穿刺胆囊置管引流术　出处：《中国介入影像与治疗学》2015年10期 　论文类型：期刊论文

【摘要】：目的探讨超声引导下经皮肝穿刺胆囊置管引流术(PTGD)治疗急性胆源性胰腺炎(ABP)的临床应用价值。方法将40例自身条件不允许或主观不接受手术治疗的ABP患者随机分为2组,每组各20例,分别采用常规药物联合PTGD治疗(置管组)及单纯常规药物治疗(对照组)。进行统计学分析,比较两组患者临床资料及治疗效果的差异。并观察PTGD治疗的并发症情况。结果两组性别、年龄及修正Ranson评分≥3分的患者所占比例的差异均无统计学意义(P均0.05)。置管组腹痛缓解时间[(55.10±8.25)h]、血清淀粉酶恢复时间[(65.20±12.00)h]、平均住院时间[(18.70±2.80)天]均较对照组[(72.50±17.40)h、(100.60±25.00)h、(23.60±3.20)天]明显减少(P均0.01)。置管组20例中,2例术后出现胆瘘,余18例均未出现并发症。结论超声引导下PTGD可对胆道进行有效的减压,明显缩短ABP患者腹痛缓解时间、血清淀粉酶恢复时间及平均住院时间。
[Abstract]:Objective to investigate the effect of percutaneous transhepatic cholecyst drainage (PTGDD) guided by ultrasound in the treatment of acute biliary pancreatitis (ACP). Methods 40 patients with ABP who were not allowed by their own conditions or who were not subject to surgical treatment were randomly divided into two groups. 20 cases in each group were treated with conventional drugs combined with PTGD (catheterization group) and simple routine drug therapy (control group). To compare the difference of clinical data and therapeutic effect between the two groups, and observe the complications of PTGD treatment. Results the sex of the two groups. There was no significant difference in age and the proportion of patients with modified Ranson score 鈮，

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