超声引导置管灌洗引流在重症胰腺炎手术中的应用

目的探讨超声引导置管灌洗引流在重症胰腺炎手术中的应用效果。方法 2009年1月至2013年3月我院收治60例重症胰腺炎患者,按治疗方法分为实验组30例和对照组30例,对照组采用常规方法对患者进行治疗,实验组在常规治疗的基础上加用超声引导置管灌洗引流。对比分析2组患者住院时间、临床检查指标及治疗效果。结果实验组患者住院时间明显短于对照组(P0.05),实验组患者体温、心率明显明显低于对照组(P0.05),实验组患者白细胞量、血淀粉酶及尿淀粉酶量明显低于对照组(P0.01),2组比较有显著性差异。实验组治疗总有效率为93.3%,对照组为66.7%,2组比较差异有统计学意义(P0.01)。结论超声引导置管灌洗引流在重症胰腺炎手术患者中应用效果良好,值得临床应用。

Application efficacy of ultrasound-guided catheter lavage in patients with severe pancreatitis surgery

Objective To study the application efficacy of ultrasound-guided catheter lavage in patients with severe pancreatitis surgery. Methods 60 patients with severe pancreatitis from January 2009 to March 2013 in our hospital were randomly and equally divided into the experimental group and the control group. Patients of the control group were merely treated with comprehensive treatment after severe acute pancreatitis operation,and Patients of the experimental group were given ultrasound-guided catheter lavage treatment additionally. Hospital stays,clinical examination indicators and clinical effects of the two groups were analyzed. Results Hospital stay of experimental group was significantly shorter than the control group （P〈0. 05）;the temperature and heart rate of experimental group was significantly lower than con-trol group （P〈0. 05）;leukocyte,serum amylase and urine amylase of the experimental group were significantly lower than the control group （P〈0. 01）. The total effective rate of experimental group （93. 3%） was significantly higher than the control group （66. 7%）,which means a statistically difference （P〈0. 01）. Conclusion Ultrasound-guided catheter lavage has good results for patients with severe pancreatitis surgery,and it is worthy of clinical application.