CT引导下穿刺置管引流在21例重症急性胰腺炎局部并发症中的应用体会  

The Application of local complications of CT guided puncture catheter drainage in 21 cases of severe acute pancreatitis

作　　者：尹纯林[1] 项和平[2] 王伟[1] 李贺[1] 高明[1] 葛魏巍[1] 姜大同[1] 

机构地区：[1]安徽医科大学第二附属医院急诊外科 [2]安徽医科大学第二附属医院长丰分院

出　　处：《肝胆外科杂志》2015年第5期361-363,366,共4页Journal of Hepatobiliary Surgery

摘　　要：目的探讨CT引导下穿刺置管引流在重症急性胰腺炎局部并发症治疗中的应用价值。方法回顾分析2014年05月~2015年04月我科21例重症急性胰腺炎患者临床资料,因伴有局部并发症,行CT引导下穿刺置管引流治疗。其中急性液体积聚(AFC)4例、急性坏死物积聚(ANC)3例、胰腺假性囊肿3例、包裹性坏死(WON)2例和胰周脓肿9例。结果本组患者均成功置入康利10号三腔引流管,21例患者共行24次穿刺置管引流,所有病例无出血、消化道瘘等并发症出现,并对比置管前后脉搏(P)、外周血白细胞(WBC)、血清淀粉酶(AMS)、IL-6、C反应蛋白(CRP)等指标。结论 CT引导下穿刺置管引流定位准确,操作相对简单安全,患者耐受性好,可避免传统手术治疗,在重症急性胰腺炎局部并发症患者中有较高的应用价值。Objective To assess the clinical efficacy of CT-guided percutaneous catheter drainage( PCD) for local complications of severe acute pancreatitis. Methods The clinical data of 21 SAP patients with local complications undergoing CT-guided PCD from May 2014 to April 2015 in our hospital were retrospectively analyzed. because of local complications,row CT guided puncture catheter drainage treatment. Acute fluid accumulation( AFC) and 4 cases,acute necrotic material accumulation( ANC) 3 cases,3cases of pancreatic pseudocyst,parcel necrosis( WON) in 2 cases and 9 cases peripancreatic abscess. Results this group of patients were successful in three cavity drainage tube,the 10 th line 21 cases of patients with a total of 24 times drainage tube,all cases with no complications such as bleeding,gastrointestinal fistula,and compared before and after the pulse tube( P),peripheral blood white blood cells( WBC),serum amylase( AMS),IL- 6,c-reactive protein( CRP). Conclusion CT guided PCD is accurate positioning,relatively simple and safe operation,the patients with good tolerance,it avoid the traditional surgery,lt have higher application value in local complications of severe acute pancreatitis patients.

关 键 词：CT 穿刺引流 重症急性胰腺炎 

分 类 号：R576[医药卫生—消化系统]