超声及CT引导下穿刺置管引流术的个体化治疗方案在急性胰腺炎治疗中的应用

目的 探讨超声及CT引导下经皮穿刺引流术在治疗急性胰腺炎局部并发症中的应用价值.方法 回顾性分析15例胰腺炎合并腹盆腔积液、坏死物积聚、胰周脓肿病人的临床资料.对病人进行B超或CT引导下经皮穿刺引流,观察其疗效.结果 15例急性胰腺炎病人,其中9例行B超引导下穿刺、3例行CT定位下穿刺、3例先后行B超及CT定位下穿刺.所有病人均穿刺成功,无穿刺相关的并发症发生.1例主动出院,1例并发胰周假性囊肿形成,13例治愈.结论 B超或CT引导下经皮穿刺引流术对部分SAP病人局部并发症的疗效较好,可减少开放手术的实施.

Ultrasound and CT guided percutaneous drainage of acute pancreatitisGE Weiwei,XIANG Heping,LI He,GAO Ming,JIANG Datong,YIN Chunlin (Department of Emergency Surgery,The Second Affiliated Hospital of Anhui Medical University, Hefei,Anhui 230601,China) Abstract:Objective

Objective To assess the clinical value of ultrasound and CT guided percutaneous drainage of acute pancreatitis (AP).Methods 15 cases of AP combined with peripancreatic fluid collection and acute necrotic collection were analyzed,all of which underwent ultrasound or CT guided percutaneous puncture and drainage.Results Among 15 cases of AP,9 cases underwent ultrasound guided percutaneous drainage,3 cases underwent CT guided percutanedous drainaged and other 3 cases underwent the both percutaneous methods.The success rate was 100%,no puncture related complications occur.One patient was automatically discharged and other cases were cured included pancreatic pseudocyst occur.Conclusion Ultrasound or CT guided percutaneous puncture and drainage have a good effective on the SAP patients with local complications,which can decrease the implement of traditional open surgery.