结合彩超选择置管位置腹腔灌洗治疗重症急性胰腺炎18例临床分析  

Clinical analysis of 18 cases of patients with severe acute pancreatitis treated with peritoneal lavage combined with color doppler ultrasound to choose catheter position

作　　者：陈键林[1] 马洺远[1] 陈琪[1] 

机构地区：[1]广东省汕头市中心医院消化内科,广东汕头515000

出　　处：《中国当代医药》2013年第30期183-184,186,共3页China Modern Medicine

摘　　要：目的探讨结合彩超选择置管位置腹腔灌洗治疗重症急性胰腺炎(SAP)的效果。方法选择在本院接受治疗的18例SAP患者,随机分为治疗组和对照组,每组各9例;对照组患者常规选择反麦氏点或腹中线脐下约2 cm处行置管腹腔灌洗,治疗组患者结合彩超选择置管位置进行腹腔灌洗,观察两组治疗效果。结果对照组有效4例(占44.4%),无效5例(占55.6%);治疗组有效9例(占100.0%),无效0例(占0.0%),两组有效率比较,差异有统计学意义(P=0.029)。结论应用彩超引导置管治疗SAP效果显著,且操作简单,有效地降低了死亡率,是治疗SAP的一种有效方法。Objective To investigate the effect of peritoneal lavage combined with color doppler ultrasound to choose catheter position in treatment of severe acute pancreatitis. Methods 18 cases of patients with SAP treated in our hospital were selected and they were randomly divided into treatment group and control group,with each group were 9 cases;the control group was treated with conventional Abdominal cavity lavage tube on the Mcintosh points or under the belly line umbilical 2cm;the treatment group was given catheter guided by bedside color doppler, the treatment effect of the two groups was observed. Results In the control group,there were 4 cases effective with effective rate of 44.4%,5 cases were nullity（accounted for 55.6%）.In the control group,9 cases were effective（accounted for 100.0%）,0 cases was nullity （accounted for 0.0%）,compared between the two groups,the difference was statistically significant （P=0.029）. Conclusion Catheter guided by bedside color doppler has an obvious curative effect in treatment of severe acute pan- creatitis.The operation is simple and it can effectively reduce mortality rate,so it is an effective means in treatment of severe acute pancreatitis.

关 键 词：彩色多普勒超声 置管位置 腹腔灌洗 重症急性胰腺炎 

分 类 号：R657.5[医药卫生—外科学]