CT引导下经皮穿刺引流术治疗重症急性胰腺炎坏死组织感染  

CT-guided percutaneous drainage in the treatment of severe acute pancreatitis with necrotic infection

作　　者：刁强[1] 郑玲[1] 卢光明[1] 

机构地区：[1]南京军区南京总医院医学影像科,江苏南京210002

出　　处：《中国介入影像与治疗学》2011年第6期466-468,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨CT引导下经皮穿刺引流术在治疗重症急性胰腺炎(SAP)合并胰腺坏死组织感染中的应用价值。方法回顾性分析41例SAP合并胰腺坏死组织感染患者的临床资料。对所有患者均进行CT引导下经皮穿刺引流胰腺感染坏死组织治疗,3天后评价引流效果,无明显改善则转为开腹手术引流。结果 CT引导下经皮穿刺引流治愈22例(22/41,53.66%),穿刺引流后一次性开腹手术成功治愈18例(18/19,94.74%),穿刺引流后二次开腹手术成功1例(1/19,5.26%),穿刺后近期并发症发病率为21.95%(9/41);残余脓肿的清除率100%,远期并发症发病率为2.44%(1/41)。结论 CT引导下经皮穿刺引流术能有效减少开腹手术引流,并提高开腹手术引流成功率,减少并发症。Objective To assess the clinical value of CT-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis（SAP） with pancreatic necrotic infection.Methods Clinical data of 41 SAP patients with pancreatic necrotic infection were analyzed retrospectively.All the patients underwent CT-guided percutaneous catheter drainage.The efficiency of drainage was evaluated after 3 days.Laparotomy drainage was performed when the situation of patient had not been improved.Results The cure rate of CT-guided percutaneous drainage was 53.66%（22/41）,of the first laparotomy drainage was 94.74%（18/19）,of the second laparotomy drainage was 5.26%（1/19）.The incidence of short-term complications was 21.95%（9/41）,and the incidence of long-term complications was 2.44%（1/41）.The clearance rate of residual abscess was 100%.Conclusion CT-guided percutaneous drainage can effectively reduce the presence of laparotomy drainage,improve the success rate of laparotomy drainage,and reduce the incidence of complications.

关 键 词：胰腺炎 引流 感染 体层摄影术 X线计算机 

分 类 号：R657.51[医药卫生—外科学] R814.42[医药卫生—临床医学]