胆道镜在腹膜后脓肿引流治疗中的应用  

Application of choledochoscope in drainage and adjunctive management of retroperitoneal abscess

作　　者：何群[1] 汤恢焕[1] 周军[1] 周清平[1] 

机构地区：[1]中南大学湘雅医院普通外科,湖南长沙410008

出　　处：《中国普通外科杂志》2010年第3期301-303,共3页China Journal of General Surgery

摘　　要：目的探讨胆道镜在腹膜后脓肿引流治疗中应用的方法及效果。方法选取1 8例经手术或置管引流的效果欠佳的腹膜后脓肿患者,用胆道镜经引流管窦道反复进入脓腔进行清创及冲洗。结果1 8例患者均得到有效治疗,1 7例治愈顺利拔管,1例患者因胰瘘6个月后行内引流手术治愈。结论腹膜后脓肿引流术后应用胆道镜辅助治疗,简单、安全,有效。Objective To investigate the methods and effects of applying choledochoscope in drainage of retroperitoneal abscess.Methods Eighteen cases of retroperitoneal abscess,who underwent open surgical debridement and drainage or PCD but the drainage was ineffective,were selected for use of choledochoscope to irrigate and debride the abscess repeatedly.Results All of the 18 patients had effective choledoscopic treatment;in 17 patients the abscess healed and drainage catheter was successfully removed;but in one patient,who developed pancreatic fistula,was cured by internal drainage operation performed 6 months later.Conclusions Use of choledochoscope as an adjunctive treatment after drainage operation of retroperitoneal abscess is simple,safe,and effective.

关 键 词：腹膜后脓肿/治疗 胆道镜 引流 

分 类 号：R656.5[医药卫生—外科学]