CT引导下的经皮穿刺引流术治疗内镜后胰腺炎继发胰周脓肿16例  

CT-guided percutaneous catheter drainage for treatment of pancreatic abscess after post-ERCP pancreatitis

作　　者：王帅[1] 秦鸣放[1] 郝文立 

机构地区：[1]天津市南开医院微创外科中心,天津市300100 [2]天津中医药研究院附属医院普外科,天津市300021

出　　处：《世界华人消化杂志》2014年第17期2477-2480,共4页World Chinese Journal of Digestology

摘　　要：目的:评价电子计算机X射线断层扫描技术(electronic computer X-ray tomography t e c h n i q u e,C T)引导下的穿刺引流术治疗内镜后胰腺炎(post-endoscopic retrograde cholangiopancreatography pancreatitis,PEP)继发胰周脓肿的可行性和有效性.方法:选择2006-01/2013-05我科因胆总管结石行内镜治疗出现术后PEP继发胰周脓肿的16例患者,在CT引导下的行穿刺引流术并放置引流管,同时给与24 h持续冲洗治疗.结果:16例患者愈后良好,无死亡或外科手术病例.平均穿刺次数为1.88次,平均带管时间为24.12 d.结论:CT引导下的穿刺引流术治疗PEP继发胰周脓肿是有效和可行的,可以减少术后并发症的发生率,提高患者的生活质量.但是不能完全作为外科手术的替代治疗,手术时机的把握仍然非常重要.AIM： To evaluate the feasibility and effectiveness of CT-guided percutaneous catheter drainage for treatment of pancreatic abscess after post-en- doscopic retrograde cholangiopancreatography （ERCP） pancreatitis. METHODS： Sixteen patients underwent CT- guided percutaneous catheter drainage for pancreatic abscess after post-ERCP pancreatitis at our hospital from January 2006 to May 2013. All of them received 24 h continuous irrigation through the catheter. RESULTS： CT-guided percutaneous catheter drainage was successful in all patients, and they all recovered. No death occurred, and nosurgery was required. The average number of punctures was 1.88, and the mean time of catheter placement was 24.12 d. CONCLUSION： CT-guided percutaneous catheter drainage is minimally invasive, safe and highly effective in the treatment of pancreatic abscess after post-ERCP pancreatitis. However, it is just a complementary therapy and cannot replace the surgical treatment completely.

关 键 词：内镜后胰腺炎 胰腺脓肿 CT 穿刺引流术 

分 类 号：R657.5[医药卫生—外科学]