超声及CT引导下穿刺置管引流术的个体化治疗方案在急性胰腺炎治疗中的应用.pdfVIP

安 徽 医 药 Anhui Medical and Pharmaceutical Journal 2017 Jun,21 (6) • 1069 • 超声及C T 引导下穿剌置管引流术的个体化治疗方案 在急性胰腺炎治疗中的应用 葛魏巍，项和平，李贺，高明，姜大同，尹纯林 (安徽医科大学第二附属医院急诊外科，安 徽 合 肥 230601) 摘要：目的探讨超声及 CT引导下经皮穿刺引流术在治疗急性胰腺炎局部并发症中的应用价值。方 法 回 顾 性 分 析 15例 胰腺炎合并腹盆腔积液、坏死物积聚、胰周脓肿病人的临床资料。对病人进行B 超或 C T 引导下经皮穿刺引流，观察其疗效。 结 果 15例急性胰腺炎病人，其中9 例行 B超引导下穿刺、3 例行 CT定位下穿刺、3 例先后行B超及 CT定位下穿刺。所有病 人均穿刺成功, 无穿刺相关的并发症发生。1例主动出院,1 例并发胰周假性囊肿形成,13例治愈。结 论 B超 或 CT引导下 经皮穿刺引流术对部分SA P病人局部并发症的疗效较好，可减少开放手术的实施。 关键词: 急性胰腺炎; 经皮穿刺引流;超声引导; C T 引导 doi ：10. 3969/j. issn. 1009 - 6469. 2017.06.025 Ultrasound and CT guided percutaneous drainage of acute pancreatitis GE W eiwei,XIANG H eping,L I H e,G A O M ing,JIANG D atong,Y IN Chunlin ( De p a r tm e n t o f E m e r g e n c y S u r g e r y y T h e S e c o n d A ffilia te d H o sp ita l o f A n h u i M e d ic a l U n iv e r s ity, H e fe i , A n h u i 230601 , C h in a ) Abstract ：Objective To assess the clinical value of ultrasound and CT guided percutaneous drainage of acute pancreatitis (A P ). Methods 15 cases of AP combined with peripancreatic fluid collection and acute necrotic collection were analyzed, all of which under­ went ultrasound or CT guided percutaneous puncture and drainage. Results Among 15 cases of AP, 9 cases underwent ultrasound guided percutaneous drainage,3 cases underwent CT guided percutanedous drainaged and other 3 cases underwent the both percutane­ ous methods. The success rate was 100% ,no puncture related complications occur. One patient was automatically discharged and other cases were cured included pancreatic pseudocyst occur. Conclusion Ultrasound or CT guided percutaneous puncture and drainage have a good effective