摘要
目的:探讨CT引导下经皮穿刺抽液和/或外引流在诊治急性胰腺炎局部并发症中的临床应用价值。方法:回顾分析2002年3月至2006年12月在我院行CT引导下经皮穿刺诊治的急性胰腺炎局部并发症的24例患者的临床资料,其中急性液体积聚6例、胰腺坏死3例、胰周脓肿6例、假性胰腺囊肿9例。检查穿刺液是否伴感染、含淀粉酶情况,随访临床症状、引流效果和影像学的改变。结果:共穿刺28例次,穿刺成功率100%,20/24例(83.33%)穿刺抽出积液后感局部胀痛缓解。可及时确诊感染性坏死,但引流效果差。2/6例(33.33%)胰周脓肿穿刺引流后治愈,4/6例引流效果差需开腹手术。5/9例(55.56%)假性胰腺囊肿经1.5～6月外引流后治愈拔管,4/9例(44.44%)转行内引流术。结论:CT引导下穿刺检查和外引流成功率高,并发症少。通过穿刺可明确是否伴有感染、了解引流物的性状,为制定治疗方案提供依据,可安全用于诊断和治疗一些急性胰腺炎的局部并发症。
Objective:We want to explore the clinical application and the value of percutaneous aspiration and/or drainage gaided by CT when it was used as local complication in diagnosis and treatment of SAP s.Methods:In retrospective review,24 acute pancratitis(AP)patients sustained percutaneous aspiration and drainage guided by CT scanning,including 6 acute accumulation of fluid,3 infected pancreatic necrosis,6 pancreatic abscesses and 9 pancreatic pseudocysts.Result:Twenty-four out of 28 patients had received punct...
出处
《华西医学》
CAS
2007年第4期735-737,共3页
West China Medical Journal
关键词
急性胰腺炎
急性胰周积液
胰周脓肿
感染性胰腺坏死
假性胰腺囊肿
并发症计算机体层摄影术
导管留置
acute pacreatitis
acute pancreatic fluid collection
pancreatic abscess
infected pancreatic necrosis
pancreatic pseudocyst
complication
X-ray computed tomography
Indewelling catheters
