本文選題：超聲引導(dǎo)　切入點：經(jīng)皮穿刺置管引流　出處：《中國超聲醫(yī)學(xué)雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的探討超聲引導(dǎo)下經(jīng)皮穿刺置管引流術(shù)治療急性胰腺炎(AP)所致腹腔不同部位積液的穿刺技巧及療效。方法選取160例我院臨床確診為AP的住院患者,其中胰周積液60例,肝腎間隙積液27例,脾腎間隙積液38例,腸間積液35例。用置管成功率、并發(fā)癥發(fā)生率及引流通暢率評價超聲引導(dǎo)下穿刺置管術(shù)治療不同部位腹腔積液的療效。結(jié)果在胰周積液穿刺中,一步法與置換法的置管成功率及并發(fā)癥發(fā)生率的差異具有統(tǒng)計學(xué)意義(P0.05),其差異在肝腎、脾腎及腸間隙積液中沒有統(tǒng)計學(xué)意義(P0.05);在胰周、肝腎、脾腎積液中選擇不同管徑引流管的引流通暢率及并發(fā)癥發(fā)生率差異具有統(tǒng)計學(xué)意義(P0.05),在腸間隙積液的引流中差異沒有統(tǒng)計學(xué)意義(P0.05);置管后的沖洗干預(yù)方式在不同部位積液的引流通暢率及并發(fā)癥發(fā)生率差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論合理選擇超聲引導(dǎo)下穿刺置管引流術(shù)的術(shù)式、引流管的管徑及置管后的沖洗干預(yù)方式對AP不同部位腹腔積液的引流療效有重要意義。
[Abstract]:Objective to investigate the puncture technique and efficacy of ultrasound-guided percutaneous catheter drainage in the treatment of peritoneal effusion caused by acute pancreatitis (AP). Methods 160 patients with AP were selected, including 60 patients with peripancreatic effusion. There were 27 cases of hepatic and renal interstitial effusion, 38 cases of splenorenal space effusion and 35 cases of intestinal effusion. The incidence of complications and the rate of drainage patency were used to evaluate the effect of ultrasound-guided catheterization in the treatment of celiac effusion in different parts. The difference of success rate and complication rate between one-step method and replacement method was statistically significant (P 0.05), and there was no significant difference in liver and kidney, spleen kidney and intestinal interspace effusion, while in peripancreatic, liver and kidney, there was no significant difference between one step method and replacement method. The difference of drainage patency rate and complication rate of different diameter drainage tube in spleen and kidney effusion was statistically significant (P 0.05), but there was no significant difference in intestinal space effusion drainage (P 0.05). There were significant differences in the drainage patency rate and complication rate of local effusion (P 0.05). Conclusion the operative method of puncture and drainage under the guidance of ultrasound should be reasonably selected, and there is no significant difference in the incidence of complications between the two groups. The diameter of drainage tube and the way of washing intervention after insertion are of great significance to the drainage effect of peritoneal effusion in different parts of AP.
【作者單位】： 甘肅省人民醫(yī)院超聲醫(yī)學(xué)科;
【基金】：甘肅省科技支撐計劃項目(No.1504FKCA061)
【分類號】：R445.1;R576

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