超声引导经皮置管引流在重症急性胰腺炎治疗中的应用价值  

The clinical value of ultrasound-guided percutaneous tube drainage in treatment for severe acute pancreatitis

作　　者：陈焕伟[1] 崔伟珍[2] 王军华[1] 蔡云峰[1] 苏树英[1] 甄作均[1] 

机构地区：[1]广东省佛山市第一人民医院肝胆外科,528000 [2]广东省佛山市第一人民医院超声科,528000

出　　处：《中国实用外科杂志》2005年第9期546-547,i0002,共3页Chinese Journal of Practical Surgery

基　　金：佛山市科技攻关项目(No:200508049);佛山市医学科研基金项目(No:2003233)

摘　　要：目的探讨超声引导经皮置管引流在重症急性胰腺炎治疗中的应用价值。方法自2002年1月至2004年6月对9例重症急性胰腺炎采用了包括超声引导经皮置管引流在内的多种非手术治疗手段,其中对6例腹腔渗液较多者,实施超声引导下经皮穿刺置管引流和腹腔灌洗;对4例合并胰腺周围积液并感染者,实施超声引导下经皮穿刺置管引流。结果9例病人全部治愈,包括1例暴发性急性胰腺炎,无一例需手术治疗,腹腔引流管留置时间为5～7d,胰周引流管留置时间为7～60d(平均为30d),住院时间32～152d,平均68d。结论超声引导经皮置管引流对于重症急性胰腺炎腹腔积液较多者以及胰腺周围积液合并感染者能够进行简便、安全、有效的治疗,它的成功应用为非手术治疗重症急性胰腺炎提供了有益的经验。Objective To explore the clinical value of ultrasound-guided percutaneous tube drainage in treatment for severe acute panereatitis, Methods Nine cases of severe acute pancreatitis were treated with multiple non-surgical methods including uhrasound-guided percutaneous tube drainage from Jan,2002 to Jun,2004. To the 6 cases that combined with peritoneal exudale, percutaneous tubes were placed under the guidance of ultrasound for the aim of drainage and peritoneal lavage. To the 4 cases that combined with peripanereatic fluid collection and infection,percutaneous tube drainage was also performed under the guidance of nhrasound. Results All of the 9 patients were cured without surgical intervention,including 1 case of fulminant acute panereatits. The period of peritoneal drainage was 5 to 7 days,and the time of peripancreatie drainage was 7 to 60 days （ mean 30 days）. The hospitalization time was 32 to 152 days （ mean 68 days）. Conclusion Ultrasound-guided percutaneous tube drainage is a convenient,safe and effective treatment for severe acute pancreatitis c.mbinlng with large amount of peritoneal exudete or peripancreatic fluid and infection. Its successful application can provide useful experience for non-surgical treatment for severe acute pancreatitis.

关 键 词：介入性超声 重症急性胰腺炎 非手术治疗 

分 类 号：R6[医药卫生—外科学]