首页 | 本学科首页   官方微博 | 高级检索  
     


Ultrasound-guided percutaneous catheter drainage in early treatment of severe acute pancreatitis
Authors:Xin-bo Ai  Xiao-ping Qian  Wen-sheng Pan  Jun Xu  Liang-qing Wu  Wan-jun Zhang  An Wang
Abstract:

BACKGROUND:

Percutaneous catheter drainage (PCD) is a minimally invasive intervation for severe acute pancreatitis (SAP). This study was undertaken to compare the results of surgery and ultrasound-guided PCD in the treatment of 32 patients with SAP, and to direct clinicians to the most optimal approach for SAP.

METHODS:

In the 32 patients, 19 were proved to have deteriorated clinical signs or symptoms, extensive fluid exudation, and necrosis confirmed by computed tomography (CT) and they underwent operative debridement and drainage. For extensive fluid exudation or necrosis, complete liquefaction and safe catheter implantation, the other 13 patients were given PCD.

RESULTS:

The mortality rate of the surgery group was 26.3%, much higher than that of the PCD group (0%). There was a significant difference between the two groups (P=0.044). The mean time for recovery of the serum C-reactive protein (CRP) level was 43.8 days in the surgery group, which was significantly longer than that of the PCD group (23.8 days) (P=0.034).

CONCLUSION:

Early PCD guided by ultrasound could decrease the mortality of patients with severe acute pancreatitis, alleviate life-threatening inflammatory complications, and avoid unnecessary emergency operation.KEY WORDS: Percutaneous catheter drainage, Operation, Severe acute pancreatitis, Clinical efficacy
Keywords:Percutaneous catheter drainage  Operation  Severe acute pancreatitis  Clinical efficacy  
点击此处可从《世界急诊医学杂志(英文)》浏览原始摘要信息
点击此处可从《世界急诊医学杂志(英文)》下载全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号