發(fā)布時間：2018-05-06 21:11

  本文選題：CT引導(dǎo) + 重癥急性胰腺炎�。� 參考：《中華醫(yī)院感染學(xué)雜志》2017年06期

【摘要】：目的探討CT引導(dǎo)下穿刺引流與開腹引流術(shù)治療重癥急性胰腺炎感染繼發(fā)胰腺周圍膿腫的效果比較。方法選取2008年1月-2016年6月于醫(yī)院收治的重癥急性胰腺炎(SAP)感染繼發(fā)胰腺周圍膿腫患者39例,根據(jù)治療方法不同將其分為觀察組20例與對照組19例,采取開腹引流術(shù)對對照組進行治療,采取CT引導(dǎo)下穿刺引流術(shù)對觀察組進行治療;治療后對兩組臨床療效及相關(guān)臨床指標(biāo)進行比較。結(jié)果與對照組比較,觀察組患者術(shù)后殘余膿腫率、體溫恢復(fù)正常時間、住院時間及住院費用均明顯降低,差異有統(tǒng)計學(xué)意義(P0.05)。與治療前相比,兩組患者治療后其CRP及PCT水平均顯著降低(P0.05),且觀察組較對照組降低程度更顯著(P0.05);在治療總有效率方面,觀察組85.0%與對照組78.9%比較相當(dāng),差異無統(tǒng)計學(xué)意義;在并發(fā)癥發(fā)生率方面,觀察組20.0%與對照組73.7%比較明顯降低,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論對重癥急性胰腺炎感染繼發(fā)胰腺周圍膿腫的患者給予CT引導(dǎo)下穿刺引流術(shù)治療具有良好的治療效果,同時能縮短恢復(fù)時間與住院時間,降低并發(fā)癥發(fā)生率及住院費用,具有較高安全性,值得臨床進一步推廣應(yīng)用。
[Abstract]:Objective to compare the effect of CT guided puncture drainage and open drainage in the treatment of peripancreatic abscess secondary to severe acute pancreatitis infection. Methods from January 2008 to June 2016, 39 patients with secondary pancreatic abscess caused by severe acute pancreatitis (SAP) infection were divided into observation group (n = 20) and control group (n = 19) according to different treatment methods. The control group was treated by laparotomy and drainage, and the observation group was treated by CT guided puncture and drainage. After the treatment, the clinical efficacy and related clinical indexes were compared between the two groups. Results compared with the control group, the rate of residual abscess, the time of body temperature returning to normal, the time of hospitalization and the cost of hospitalization in the observation group were significantly lower than those in the control group (P 0.05). Compared with before treatment, the levels of CRP and PCT in the two groups were significantly lower than those in the control group, and the degree of decrease in the observation group was more significant than that in the control group, and the total effective rate of the observation group was 85.0% compared with 78.9% of the control group, the difference was not statistically significant. The incidence of complications in the observation group (20.0%) was significantly lower than that in the control group (73.7%), and the difference was statistically significant (P 0.05). Conclusion CT-guided puncture and drainage in patients with severe acute pancreatitis infection secondary to peripancreatic abscess has a good therapeutic effect. It can also shorten the recovery time and hospital stay, reduce the incidence of complications and hospital expenses. It is safe and worthy of further clinical application.
【作者單位】： 杭州市蕭山區(qū)第一人民醫(yī)院介入科;浙江大學(xué)醫(yī)學(xué)院附屬邵逸夫醫(yī)院放射科;杭州市蕭山區(qū)第一人民醫(yī)院胃腸外科;浙江省腫瘤醫(yī)院介入科;杭州市蕭山區(qū)第一人民醫(yī)院腫瘤內(nèi)科;
【基金】：浙江省醫(yī)藥衛(wèi)生一般研究計劃基金資助項目(2011KYA135)
【分類號】：R576

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相關(guān)期刊論文 前3條

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本文編號：1853878