早期经皮穿刺置管引流对重症急性胰腺炎合并急性坏死物积聚的疗效分析  

Analysis of the Effect of Early Percutaneous Catheter Drainage on Severe Acute Pancreatitis Complicated with Acute Necrotic Collection

作　　者：焦晨阳 杨斌[1] 伏亦伟[1] 赵治彬[1] JIAO Chen-yang;YANG Bin;FU Yi-wei;ZHAO Zhi-bin(Taizhou People's Hospital,Taizhou Jiangsu 225300,China)

机构地区：[1]泰州市人民医院消化科,江苏泰州225300

出　　处：《泰州职业技术学院学报》2020年第5期58-60,共3页Journal of Taizhou Polytechnic College

摘　　要：目的探讨早期经皮穿刺置管引流术(PCD)对重症急性胰腺炎(SAP)合并急性胰周坏死物积聚(ANC)的临床效果。方法回顾性分析泰州人民医院2015年9月至2019年9月收治的合并ANC的SAP患者的临床资料,按是否10天内行PCD治疗分为治疗组和对照组(治疗组16例、对照组17例),比较2组的临床症状缓解情况、实验室检查结果、APACHEII评分、平均住院日、平均住院费用。结果治疗组肠蠕动恢复时间,住院天数,住院费用,入院第14天的白细胞计数(WBC)、C-反应蛋白(CRP)、APACHEII评分均显著低于对照组,差异有统计学意义。结论早期PCD对合并ANC的SAP患者是安全、有效的治疗方法。Objective To investigate the clinical effect of early percutaneous catheter drainage(PCD) on severe acute pancreatitis(SAP) complicated with acute peripancreatic necrosis(ANC). Methods The clinical data of SAP patients with ANC admitted to Taizhou People’s Hospital from September 2015 to September 2019 were analyzed retrospectively. The patients were divided into observation group and control group according to whether PCD treatment was performed within 10 days. The clinical symptom relief, laboratory examination results,APACHE II score, hospitalization time and hospitalization expense were compared between the two groups. Results There were 16 patients in the observation group and 17 patients in the control group. The time of intestinal motility recover, hospitalization time, hospitalization expense, WBC, CRP and APACHE II scores on the 14 th day of hospitalization of the observation group were significantly lower than those of the control group. Conclusion Early PCD is a safe and effective therapy for SAP patients complicated with ANC.

关 键 词：急性胰腺炎 急性坏死物积聚 经皮穿刺置管引流 

分 类 号：R657.51[医药卫生—外科学]