胆道镜清创治疗胰腺炎胰周脓肿经验总结  

Experience of choledochoscopy debridement in treatment of pancreatitis complicated with peripancreatic abscess

作　　者：郝金成[1] 梁雅静[1] 曹广涛[1] HAO Jincheng;LIANG Yajing;CAO Guangtao(Department of general surgery,Rizhao City Hospital of traditional Chinese Medicine Rizhao 276800 China)

机构地区：[1]日照市中医医院普外科,山东日照276800

出　　处：《现代仪器与医疗》2017年第2期27-28,61,共3页Modern Instruments & Medical Treatment

摘　　要：目的:分析胆道镜清创治疗胰腺炎胰周脓肿的效果与安全性,总结治疗经验。方法:2012年2月~2016年2月59例胰腺炎胰周脓肿患者接受介入超声穿刺置管引流、窦道扩张、胆道镜清创治疗,记录其引流情况、清创情况、治疗效果、并发症发生情况及1年随访结果。结果:59例患者介入超声穿刺引流均成功实施,56例患者于数次清创后达到治愈标准,治愈率为94.92%。56例接受胆道镜清创治疗的患者中,共发生并发症4例。随访期间59例患者均未见病灶残余。结论:胆道镜清创治疗胰腺炎胰周脓肿效果确切、安全可靠。应注重彻底引流、避免脏器损伤,以达到挽救生命、控制损伤、保证疗效目的。From February2012to February2016,59patients with pancreatitis complicated with peripancreatic abscessreceived ultrasound-guided percutaneous drainage,sinus dilation,and choledochoscopy debridement,and their drainage,debridement,treatment effect,complications occurrence and1year follow-up results were recorded.Results:59patients were all successfully treated with ultrasound-guided percutaneous drainage.56patients were cured after severaldebridement.The cure rate was94.92%.Of the56patients who underwent cholera debridement,4had complications.There were no lesion residues in59patients during follow-up.Conclusions:Choledochoscopy debridement is effectiveand safe in the treatment of pancreatitis complicated with peripancreatic abscess.Thorough drainage and avoiding organdamage should be paid attention,in order to save lives,control damage and ensure the efficacy.

关 键 词：胆道镜 清创 胰腺炎 胰周脓肿 

分 类 号：R657.5[医药卫生—外科学]