胰床网膜囊内引流治疗重症急性胰腺炎34例报告

CLOSE OF DRAWING OF OMEUTOCYST THROUGH TWO CROSS TUBES CURE ACUTE SEVERE PANCREATITS

目的探讨胰床网膜囊内两管交叉封闭引流与多管引流治疗重症性胰腺炎效果。方法作者对本组患者均采用了胰床网膜囊内两管交叉封闭引流治疗。结果34例术后无1例再行胰腺坏死组织清除和切口敞开引流术。除1例拔管过早形成假性囊肿，半年后改行囊肿空肠吻合术，1例胰瘘2年后自愈，另1例并发心肾衰竭死亡外，治愈33例。结论该手术方法时间短，创伤小，取材方便，置管少，并发症少，简便易行，疗效好，适应广用。同时避免了多管引流不足。

Purpose To compare the curative effect of close drawing of omeutocyst(pancreatic bed)through two cross tubeswith multiple tubes. Methods The auther of this writing used colse drawing of omeutocyst through two cross tubes to cure 34 caseof acute severe pancreatitis. Results None of 34 patients experienced the operation of clear necrotizing pancreatic tissue or the operation of open drawing of pancreatic bed. Again 33 patients recovered except one dying of the heart and renal failure,but two patients had complications. One had pseudocyst and was treated by cystjejunnostomy after half a year. The other one had pancreaticfistula and recovered naturely after two years. Conclusion This operation has the following advantages:short time of operation,light injury, good effects , few drawing tubes and complications, convenience and wide use etc. On the other hand, this operationavoids the shortcoming of drawing through multiple tubes.