急性胰腺炎伴胰周液体积聚的内镜治疗进展  

Endoscopic treatment progress of acute pancreatitis with peri-pancreatic fluid collection

作　　者：周林 朱浩[1] 刘明东[1] 王雷[1] 邹晓平[1] ZHOU Lin;ZHU Hao;LIU Mingdong;WANG Lei;ZOU Xiaoping(Department of Gastroenterology,Nanjing Drum Tower Hospital,Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院消化内科,江苏南京210008

出　　处：《中国临床研究》2024年第2期285-289,共5页Chinese Journal of Clinical Research

基　　金：国家自然科学基金(81402337);南京鼓楼医院临床研究专项资金(2021-LCYJ-PY-45,2021-LCYJ-PY-41)。

摘　　要：胰周液体积聚(PFC)主要由急性胰腺炎、慢性胰腺炎、胰腺外伤和胰腺手术造成,其中大部分可自行吸收,可行保守治疗。但对于有临床症状的PFC则需要干预治疗,主要包括经皮穿刺引流、内镜治疗和外科手术。近年来,随着内镜技术和内镜附件的不断发展,内镜治疗已成为PFC的一线治疗方案,主要包括内镜引流和内镜清创两种方式。本文主要从内镜治疗指征、内镜治疗方式和相关并发症等几个方面阐述内镜治疗在PFC处理中的独特优势和相关临床问题。Peri-pancreatic fluid collection(PFC)is mainly caused by acute pancreatitis,chronic pancreatitis,pancreatic trauma and surgery.Most of PFC could be treated conservatively and absorbed by itself.However,PFC that causes clinical symptoms requires treatment,including percutaneous drainage,endoscopic treatment,and surgery.By the continuous development of endoscopic technology and accessories in recent years,endoscopic treatment has become the first-line treatment for PFC,including endoscopic drainage and endoscopic necrosectomy.The present article would combine the latest research and clinical experience,and classify the unique advantages of endoscopic treatment in the PFC management from the perspectives of endoscopic diagnosis,endoscopic intervention indications,endoscopic drainage,endoscopic debridement and related complications.

关 键 词：胰周液体积聚 胰腺假性囊肿 包裹性坏死 内镜引流 内镜清创 胰腺炎 升阶梯治疗 

分 类 号：R576[医药卫生—消化系统]