摘要
目的探讨超声引导下经皮穿刺置管灌洗引流治疗重症急性胰腺炎渗液及并发症的临床疗效及应用价值。材料与方法对104例重症急性胰腺炎腹腔积液及合并胰腺周围渗液、假性胰腺囊肿及脓肿的患者行超声引导下经皮穿刺置管灌洗引流术,观察其疗效。结果 104例置管成功率为100%,平均每人置管2.2根,平均引流时间10.4d。96例置管能有效引流,6例引流不畅转开腹手术,2例死于MODS。结论选择性应用超声引导下经皮穿刺置管灌洗引流术对于腹腔渗液较多及合并局部并发症的重症急性胰腺炎患者是一种有效的治疗手段。
Purpose To explore clinical efficacy and value of uitrasound gided prcutaneous catheter lavage and drain- age teatment for severe acute pancreatitis exudate and complication. Materials and Methods in 104 cases severe acute pan- creatitis ascites with pancreatic exudate pseudocyst and abscess were uitrasound gided peritoneal catheter lavage and drainage, efects were observed. Results 104 cases of percutaneous catheter Success rate was 100%, per cases percutaneous catheter in 2. 2 root, per cases percutaneous catheter in 10.4 days. 96 cases of percutaneous catheter effective drainage, 6 cases of poor percutaneous catheter to open operation, 2 cases died of MODS. Conclusion： selective application uasound guided gereutane- ous etheter lavage and drainage treatment for severe acute pancreatitis exudate is an effective treatment.
出处
《现代医用影像学》
2015年第3期328-330,共3页
Modern Medical Imageology
基金
科研立项编号:宝鸡卫生科研2012-03
关键词
超声引导
置管
灌洗引流
重症急性胰腺炎
渗液
Ultrasound Guided, Percutaneous Catheter, Drainage and lavage, Severe acute pancretitis, Exudate
