经腰部切口引流重症胰腺炎感染坏死灶的临床分析  

Clinical analysis of severe pancreatitis infected foci by waist incision drainage

作　　者：王帆[1] 陈向阳[1] 曹俊[1] 陈刚[1] 秦勇[1] 

机构地区：[1]云南省昆明市第一人民医院肝胆胰2科,云南昆明650011

出　　处：《吉林医学》2010年第28期4864-4865,共2页Jilin Medical Journal

摘　　要：目的:分析经腰部切口引流治疗重症胰腺炎感染坏死灶的疗效。方法:经腰部切口引流组25例,切口选择为经左、右腰部腋中线切口,长度10～15cm。经腹部切口引流组18例,经右侧腹直肌切口或上腹横切口,长度20～35cm。结果:经腰部切口引流组25例,死亡1例(14%),全组患者只经历了1次引流手术,2例发生肠瘘。经腹部切口引流组18例,死亡5例(27.7%),有9例经历了2次引流手术,7例发生肠瘘、胰瘘、出血等并发症。结论:在对重症胰腺炎感染坏死灶引流时,选用经腰部切口引流优于经腹部切口。Objective To analyze severe pancreatitis infected foci by the waist incision drainage in the past seven years.Method Through the waist incision drainage group of 25 cases,chosed the incision on the left and right axillary waist midline incision,with the length of 10 ～ 15 cm.The abdominal incision drainage group of 18 cases,right rectus transverse incision or abdominal incision,with the length of 20 ～ 35 cm.Results After waist incision drainage group of 25 cases,one patient died（14%）,all patients experienced only one operation,2 cases ofintestinal fistula.The abdominal incision drainage group of 18 cases,five cases died（27.7%）,9 patients underwent 2 surgical drainage,7 cases of fistula,pancreatic fistula,and bleeding complications.Conclusion Severe pancreatitis in the infected necrotic foci drainage,the waist incision drainage is better than the abdominal incision.

关 键 词：经腰部切口 重症胰腺炎 感染坏死灶 

分 类 号：R657.51[医药卫生—外科学]