介入治疗重症急性胰腺炎42例分析

Clinical analysis of interventional therapy for severe acute pancreatitis in 42 cases

目的:探讨介入治疗重症急性胰腺炎(SAP)的临床应用价值。方法:回顾分析2009-03-2014-02我院收治的42例SAP的病历资料,全部病例均行EST或B超、CT引导下经皮穿刺,置管引流胰周积液及局部并发症。结果:42例患者中7例经EST+ENBD治愈,29例经皮置管引流后成功治愈,6例引流失败,行外科手术治疗,死亡5例,总治愈率88.1%,病死率11.9%,无导管相关性并发症。结论:对于SAP采用EST或经皮置管引流是一种安全有效的治疗方法,对于选择适当的病例,可以避免传统外科手术。

Objective：To investigate the clinical value of interventional therapy in the treatment of severe acute pancreatitis.Method：We retrospectively studied the clinical data of 42 patients with severe acute pancreatitis admitted to Xi＇an Central Hospital from March 2009 to February 2014.All patients underwent EST or B-ultrasonography/CT-guided percutaneous catheter drainage for acute peripancreatic fluid collections and other local complications.Result：Among 42 patients,7cases were successfully cured with EST＋ENBD and 29 of them received percutaneous catheter drainage.Percutaneous catheter drainage failed in 6patients.Surgery was performed in these cases,and 5of them died.The overall curative rate was 88.1%.The overall mortality was 11.9%.Complications associated with the catheter were not observed.Conclusion：EST or percutaneous catheter drainage is a safe procedure for treatment of severe acute pancreatitis.The conventional open surgery is avoidable if we use those technique in proper patients.