CT引导下穿刺引流治疗重症急性胰腺炎继发胰腺周围脓肿的临床观察  

Clinical Observation of CT-Guided Puncture and Drainage in the Treatment of Secondary Peripancreatic Abscess of Severe Acute Pancreatitis

作　　者：唐中建[1] 熊盟 蒋昌华[1] 舒艾娅[1] 符宜龙[1] TANG Zhong-jian;XIONG Meng;JIANG Chang-hua;SHU ai-ya;FU Yi-long(Department of Critical Medicine,Fuling Central Hospital,Chongqing 408000,China)

机构地区：[1]重庆市涪陵中心医院重症医学科,重庆408000

出　　处：《中国CT和MRI杂志》2022年第10期98-99,共2页Chinese Journal of CT and MRI

基　　金：重庆市卫生局重点课题(2015-1-084)。

摘　　要：目的分析CT引导下穿刺引流治疗重症急性胰腺炎(SAP)继发胰腺周围脓肿的临床效果。方法回顾性收集2015年9月至2019年9月在本院进行治疗的133例SPA继发胰腺周围脓肿患者的临床资料。根据治疗方法不同分为CT引导组(CT引导下穿刺引流)和常规组(开腹引流)分别为73例,60例。对比两组患者临床疗效、术中情况以及术后并发症情况。结果CT引导组治疗总有效率为97.26%,明显高于常规组(88.33%)(P<0.05);CT引导组患者术中出血量、住院时间均低于常规组(P<0.05),两组在手术时间上无明显差异(P>0.05);CT引导组术后并发症发生率为1.36%,明显低于常规组(15.00%)(P<0.05)。结论CT引导下穿刺引流治疗SAP继发胰腺周围脓肿患者可提高总体治疗效果,降低术后并发症,临床使用价值高。Objective To analyze the clinical effect of CT-guided puncture and drainage in the treatment of secondary peripancreatic abscess of severe acute pancreatitis(SAP).Method The clinical data of 133 patients with SPA secondary peripancreatic abscess who were treated in our hospital from September 2015 to September 2019 were retrospectively collected.According to different treatments,they were divided into CT guided group(CT-guided puncture and drainage)and conventional group(surgical drainage),with 73 cases and 60 cases respectively.The clinical efficacy,intraoperative conditions and postoperative complications of patients between the two groups were compared.Results The total effective rate of treatment in the CT-guided group was 97.26%,which was significantly higher than that in the conventional group(88.33%)(P<0.05).The intraoperative blood loss and hospital stay in the CT-guided group were lower than those in the conventional group(P<0.05).There was no significant difference in the operation time between the two groups(P>0.05).The incidence of postoperative complications in the CT-guided group was 1.36%,which was significantly lower than that in the conventional group(15.00%)(P<0.05).Conclusion CT-guided puncture and drainage in the treatment of patients with SAP secondary peripancreatic abscess can improve the total treatment effect,reduce postoperative complications,and have high clinical value.

关 键 词：CT引导下穿刺引流 重症急性胰腺炎 继发胰腺周围脓肿 临床效果 

分 类 号：R445.3[医药卫生—影像医学与核医学]