经皮肾镜微创技术治疗坏死感染性胰腺炎

Minimally invasive percutaneous nephroscopic necrosectomy experience for infected necrotizing pancreatitis

目的:介绍一种微创治疗坏死感染性胰腺炎的经皮肾镜坏死组织清除术。方法:对2例重症胰腺炎患者实施了经皮肾镜坏死组织清除术。在经原有引流窦道实施该手术前,其中1例患者接受了1次经皮穿刺引流术,而另1例患者则接受了3次经皮穿刺引流术以及1次开腹清创手术。结果:2例患者均仅进行了1次经皮肾镜坏死组织清除术,感染症状迅速得到控制。没有手术相关的死亡及并发症。结论:在合理选择患者的情况下,经皮肾镜坏死组织清除术是一种微创、安全且有效的治疗坏死感染性胰腺炎的方法。

Objective：To introduce a minimally invasive percutaneous nephroscopic necrosectomy experience for infected necrotizing pancreatitis. Methods：Two patients with serve acute pancreatitis received minimally invasive percutaneous nephroscopic necrosectomy in our hospital during 2012. Before the minimally invasive percutaneous nephroscopic neerosectomy along the drainage sinus tract,the first patient underwent one time of percutaneous catheter drainage ,the second patient underwent three times of percutaneous catheter drainage and one time of open debfidement. Results：Two patients received one time of percutaneous nephroseopic treatment,symptoms of infection was quickly under control. There were no operative mortality and morbidity. Conclusion：Percutaneous nephroscopic necrosectomy is a minimally invasive, safe and efficient treatment for infected pancreatic necrosis when used in selected patients.