本文關(guān)鍵詞： 胰腺炎 超聲檢查 經(jīng)皮肝穿刺膽囊置管引流術(shù)　出處：《中國介入影像與治療學(xué)》2015年10期 　論文類型：期刊論文

【摘要】：目的探討超聲引導(dǎo)下經(jīng)皮肝穿刺膽囊置管引流術(shù)(PTGD)治療急性膽源性胰腺炎(ABP)的臨床應(yīng)用價(jià)值。方法將40例自身?xiàng)l件不允許或主觀不接受手術(shù)治療的ABP患者隨機(jī)分為2組,每組各20例,分別采用常規(guī)藥物聯(lián)合PTGD治療(置管組)及單純常規(guī)藥物治療(對(duì)照組)。進(jìn)行統(tǒng)計(jì)學(xué)分析,比較兩組患者臨床資料及治療效果的差異。并觀察PTGD治療的并發(fā)癥情況。結(jié)果兩組性別、年齡及修正Ranson評(píng)分≥3分的患者所占比例的差異均無統(tǒng)計(jì)學(xué)意義(P均0.05)。置管組腹痛緩解時(shí)間[(55.10±8.25)h]、血清淀粉酶恢復(fù)時(shí)間[(65.20±12.00)h]、平均住院時(shí)間[(18.70±2.80)天]均較對(duì)照組[(72.50±17.40)h、(100.60±25.00)h、(23.60±3.20)天]明顯減少(P均0.01)。置管組20例中,2例術(shù)后出現(xiàn)膽瘺,余18例均未出現(xiàn)并發(fā)癥。結(jié)論超聲引導(dǎo)下PTGD可對(duì)膽道進(jìn)行有效的減壓,明顯縮短ABP患者腹痛緩解時(shí)間、血清淀粉酶恢復(fù)時(shí)間及平均住院時(shí)間。
[Abstract]:Objective to investigate the effect of percutaneous transhepatic cholecyst drainage (PTGDD) guided by ultrasound in the treatment of acute biliary pancreatitis (ACP). Methods 40 patients with ABP who were not allowed by their own conditions or who were not subject to surgical treatment were randomly divided into two groups. 20 cases in each group were treated with conventional drugs combined with PTGD (catheterization group) and simple routine drug therapy (control group). To compare the difference of clinical data and therapeutic effect between the two groups, and observe the complications of PTGD treatment. Results the sex of the two groups. There was no significant difference in age and the proportion of patients with modified Ranson score 鈮，

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