经皮引流和超声内镜对胰腺液体积聚的治疗效果分析

Analysis of Therapeutic Effect of Percutaneous Drainage and Endoscopy on Pancreatic Fluid Accumulation

目的对比经皮引流、超声内镜在胰腺液体积聚治疗中价值。方法选取2017年5月—2019年5月接收的胰腺液体积聚患者50例进行研究,以“治疗方法”分为两组,对照组(n=25)实施经皮引流治疗,试验组(n=25)实施超声内镜治疗,对比并发症发生率、临床成功率、复发率、再治疗率、技术成功率、住院时间。结果试验组并发症发生率(28.00%)与对照组(12.00%)比差异无统计学意义(P>0.05)。试验组临床成功率(88.00%)与对照组(80.00%)比差异无统计学意义(P>0.05)。试验组复发率(12.00%)与对照组(16.00%)比差异无统计学意义(P>0.05)。试验组再治疗率(12.00%)与对照组(8.00%)比差异无统计学意义(P>0.05)。技术成功率试验组(96.00%)与对照组(100.00%)比差异无统计学意义(P>0.05)。住院时间对比试验组(1.35±38.41d)低于对照组(5.24±46.27d),相比差异有统计学意义(P<0.05)。结论胰腺液体积聚患者开展经皮引流和超声内镜治疗均有明显价值,治疗中可根据病变位置选择合适引流方法以取得理想效果。

Objective To compare the value of percutaneous drainage and endoscopic ultrasound in the treatment of pancreatic fluid accumulation.Methods From May 2017-May 2019,a study of 50 patients with pancreatic fluid accumulation received were divided into 2 groups according to the"treatment method".The control group(n=25)was treated with percutaneous drainage,and the experimental group(n=25)was treated with ultrasound endoscopy.Treatment,compare the complication rate,clinical success rate,recurrence rate,retreatment rate,technical success rate,and length of hospital stay.Results The complication rate of the experimental group(28.00%)and the control group(12.00%)had no significant difference(P>0.05).The clinical success rate of the test group(88.00%)and the control group(80.00%)had no significant difference(P>0.05).The recurrence rate of the test group(12.00%)and the control group(16.00%)had no significant difference(P>0.05).The retreatment rate of the experimental group(12.00%)and the control group(8.00%)had no significant difference(P>0.05).The technical success rate of the test group(96.00%)and the control group(100.00%)w ere not statistically different(P>0.05).The length of stay in the test group(1.35±38.41d)was lower than that of the control group(5.24±46.27d),and the difference was statistically significant(P<0.05).Conclusion Percutaneous drainage and endoscopic ultrasound therapy for patients with pancreatic fluid accumulation have obvious value.In the treatment,appropriate drainage methods can be selected according to the location of the lesion to achieve the desired effect.