【摘要】 目的观察早期超声引导下经皮置管引流(PCD)治疗重症急性胰腺炎(SAP)急性液体积聚的疗效。方法回顾性分析2008年6月—2013年7月收治的57例SAP的临床资料,并根据PCD干预时间不同分为2组:早期PCD组(A组)31例和后期PCD组(B组)26例,比较两组疗效。结果 A组病死率、住院天数、体温、血清降钙素原及C反应蛋白(CRP)水平恢复正常时间、积液引流时间、器官衰竭恢复时间、新发器官衰竭病例及穿刺导管数、导管尺寸均显著低于B组(P<0.05),两组均无行开腹手术的病例。结论早期超声引导下PCD可有效清除SAP液体积聚并缓解病情,是一种安全、可靠的治疗手段。更多还原

【Abstract】 Objective To observe the effect of ultrasound-guided percutaneous catheter drainage(PCD) of acute fluid accumulation in the early phase of severe acute pancreatitis(SAP).Methods Clinical data of 57 SAP patients admitted during January 2008 and July 2013 was retrospectively analyzed,and the patients were divided into two groups according to PCD intervention time:PCD in the early phase group(group A,n = 31) and PCD in the late phase group(group B,n = 26).The therapeutic efficacies of the two groups were compared.Results The values of mortality rate,duration of hospitalization,the recovery time of body temperature,serum procalcitonin and C-reactive protein(CRP),hydrops draining time,the recovery time of organ failure,incidence rate of organ failure,number and size of puncture catheter in group A were significantly lower than those in group A(P < 0.05),and no patients underwent laparotomy in the two groups.Conclusion Ultrasound-guided PCD of acute fluid accumulation in the early phase of SAP is a safe and effective method,and it can relieve SAP condition by drainning harmful acute fluid accumulation.更多还原