经皮穿刺置管引流术治疗重症急性胰腺炎

The treatment of percutaneous catheter drainage for severe acute pancreatitis

重症急性胰腺炎是临床上常见的一种危重急症,其进展快、并发症多,愈后差且病死率高。传统的开腹坏死组织清除术在过去的多年里已经成为重症急性胰腺炎伴组织坏死的主要治疗方式,虽然开腹坏死组织清除术可较为完全的清除坏死病灶,但其涉及较大的切口及广泛的解剖,导致了较高的病死率、再次手术率、术后并发症及再入院率。近年来,经皮穿刺置管引流术(percutaneous catheter drainage,PCD)的兴起对重症坏死性胰腺炎的治疗和愈后有很大的帮助。

As a critical emergency disease,severe acute pancreatitis develops quickly with more complications,poor outcomes and higher mortality.Traditional debridement of open necrotic tissue has been the main treatment for severe acute pancreatitis with tissue necrosis in the past years.Although open necrotic tissue removal may eradicate necrotic lesions,it leaves a large incision and massive anatomy,leading to higher incidence of mortality,reoperation,postoperative complications and readmission.In recent years,the rise of percutaneous catheter drainage(PCD)improves the treatment of severe necrotizing pancreatitis.