临床外科杂志 ›› 2023, Vol. 31 ›› Issue (10): 928-930.doi: 10.3969/j.issn.1005-6483.2023.10.008

• 论著 • 上一篇    下一篇

经皮置管冲洗引流治疗感染性胰周坏死

  

  1. 570311 海口,海南省人民医院肝胆胰外科(陈良、武金才、陈家诚、罗相相、唐荣);海南省肿瘤医院肝胆胰外科(周开伦)
  • 收稿日期:2022-10-06 接受日期:2022-10-06 出版日期:2023-10-20 发布日期:2023-10-20
  • 通讯作者: 通信作者:武金才,Email:wujincai021@126.com
  • 基金资助:
    海南省科技重点研发项目(ZDYF2020134);海南省自然科学基金(819QN356)

Treatment of infected pancreatic necrossis with percutaneous irrigation and drainage

  1. Department of Hepatobiliary and Pancreatic fSurgery, Hainan Provincial People’s Hospital, Haikou 570311,China
  • Received:2022-10-06 Accepted:2022-10-06 Online:2023-10-20 Published:2023-10-20

摘要: 目的   探讨感染性胰周坏死采用经皮穿刺置管配合冲洗引流治疗的临床疗效。  方法   2018年1月~2022年6月收治的感染性胰周坏死10例,采用穿刺置管冲洗引流治疗,记录病人引流时间、恢复情况及并发症发生情况。  结果   9例经穿刺冲洗引流处理后均痊愈,1例穿刺置管冲洗引流治疗失败行开腹清创术后治愈,住院平均冲洗引流时间32天,无并发症发生,治愈后未再复发。  结论   经皮穿刺逐级置换冲洗引流具有微创、效果明确等特点,可考虑单独用于部分病人感染性胰周坏死的治疗,值得推广。

关键词: 感染性胰周坏死, 穿刺置管冲洗引流

Abstract: Objective   To investigate the clinical efficacy of percutaneous catheterization combined with irrigation and drainage in the treatment of infected pancreatic necrosis.  Methods   Data of 10 patients with infectious peripancreatic necrosis admitted to our department from January 2018 to June 2022 who received puncture and catheter irrigation and drainage treatment were collated and analyzed,and the drainage time,recovery and complications of patients were recorded.  Results   All the 9 patients recovered after puncture irrigation and drainage treatment,and 1 patient failed puncture catheter irrigation and drainage treatment and was cured after open debridement.The average hospitalization time of irrigation and drainage was 32 days,and no complications occurred.  Conclusion   Percutaneous progressive replacement irrigation and drainage is minimally invasive and effective.It can be used in the treatment of infectious peripancreatic necrosis in some patients alone.It is worth promoting.

Key words: infected pancreatic necrosis, percutaneous irrigation and drainage

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