早期行超声引导下经皮置管引流治疗重症急性胰腺炎急性液体积聚  

Ultrasound-guided Percutaneous Catheter Drainage of Acute Fluid Accumulation in the Early Phase of Severe Acute Pancreatitis

作　　者：陈光宇[1] 戴睿武[1] 闫洪涛[1] 罗皓[1] 屈琳琳[1] 陈涛[1] 吕润华[1] 汤礼军[1] 

机构地区：[1]成都军区总医院全军普通外科中心,成都610083

出　　处：《解放军医药杂志》2014年第7期12-15,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：国家自然科学基金(81000185);四川省青年科技创新团队基金项目(2011JTD0010);成都军区总医院院管课题(2013YG-B065)

摘　　要：目的观察早期超声引导下经皮置管引流(PCD)治疗重症急性胰腺炎(SAP)急性液体积聚的疗效。方法回顾性分析2008年6月—2013年7月收治的57例SAP的临床资料,并根据PCD干预时间不同分为2组:早期PCD组(A组)31例和后期PCD组(B组)26例,比较两组疗效。结果 A组病死率、住院天数、体温、血清降钙素原及C反应蛋白(CRP)水平恢复正常时间、积液引流时间、器官衰竭恢复时间、新发器官衰竭病例及穿刺导管数、导管尺寸均显著低于B组(P<0.05),两组均无行开腹手术的病例。结论早期超声引导下PCD可有效清除SAP液体积聚并缓解病情,是一种安全、可靠的治疗手段。Objective To observe the effect of ultrasound-guided percutaneous catheter drainage （PCD） of a-cute fluid accumulation in the early phase of severe acute pancreatitis （SAP）. Methods Clinical data of 57 SAP pa-tients admitted during January 2008 and July 2013 was retrospectively analyzed, and the patients were divided into two groups according to PCD intervention time： PCD in the early phase group （group A, n = 31） and PCD in the late phase group （group B, n = 26）. The therapeutic efficacies of the two groups were compared. Results The values of mortality rate, duration of hospitalization, the recovery time of body temperature, serum procalcitonin and C-reactive protein （CRP）, hydrops draining time, the recovery time of organ failure, incidence rate of organ failure, number and size of puncture catheter in group A were significantly lower than those in group A （P 〈 0. 05）, and no patients underwent lapa-rotomy in the two groups. Conclusion Ultrasound-guided PCD of acute fluid accumulation in the early phase of SAP is a safe and effective method, and it can relieve SAP condition by drainning harmful acute fluid accumulation.

关 键 词：胰腺炎 急性坏死性 引流术 治疗效果 

分 类 号：R576.1[医药卫生—消化系统]