摘要
近年来，已有多种微创技术用于胰腺和（或）胰周坏死继发感染的外科治疗，包括经皮穿刺置管引流术、内镜下经腔内治疗、小切口手术、借助视频设备的微创技术、腹腔镜手术等。临床上需严格把握每种治疗的适应证。经皮穿刺置管引流术及内镜下治疗通常作为初始治疗手段。开腹手术仍然有效，也是其他微创手术失败后的“挽救性”治疗方法。本文就当前胰腺和（或）胰周坏死继发感染的常用外科治疗方法进行综述。
Several minimally invasive techniques were used to treat infection secondary to pancreatic and （or peri-pancreatic） necrosis recent years, including percutaneous catheter drainage （PCD） , endoscopic transluminal treatment, min-incision surgery, video-assisted minimally invasive technique and laparoscopic surgery. We should grasp the indication of each technique. PCD/ endoscopic transluminal surgery usually acted as initial therapy. Open surgery is still effective, and acts as a rescue operation when minimally invasive techniques fail.
出处
《中华肝胆外科杂志》
CSCD
北大核心
2017年第8期566-569,共4页
Chinese Journal of Hepatobiliary Surgery
关键词
急性胰腺炎
坏死
感染
微创治疗
经皮穿刺置管引流术
内镜下经腔内引流术
Acute pancreatitis
Necrosis
Infec- tion
Minimally invasive treatment
Percutaneons catheter drainage （PCD）
Endoscopic transluminal drainage （ETD）
