重症急性胰腺炎术后残余积脓治疗的对比回顾性研究

A comparative retrospective study on the treatment of residual empyema after severe acute pancreatitis surgery

目的:比较穿刺置管引流和传统开腹清创引流术两种治疗方法在重症急性胰腺炎(SAP)坏死组织清除术后残余积脓治疗效果的差异性。方法:回顾性分析82例SAP坏死组织清除术后残余积脓的患者,根据治疗方式将患者分为穿刺组和开腹组两组,52例患者采用穿刺置管引流治疗方法;30例患者采用传统开腹清创引流治疗方法,对比两组患者的治疗结局差异。结果:穿刺组中患者的病死率、术后并发症发生率、住院时间均低于开腹组,且患者治愈率高于开腹组,其差异有统计学意义(P<0.01)。结论:相比于传统的开腹清创引流治疗而言,穿刺置管引流创伤小,操作较简单,是治疗SAP术后残余积脓安全有效的方法。

Objective:To compare the difference in the treatment effect of residual empyema after necrotic tissue removal in SAP between percutaneous catheter drainage and traditional open abdominal debridement and drainage.Method:A retrospective analysis of 82SAP patients with residual empyema after necrotizing tissue clearance was divided into two groups:puncture group and laparotomy group according to the treatment methods.52patients were treated with puncture catheter drainage.30patients were treated with traditional open abdominal debridement and drainage.Compare the differences in treatment outcomes between the two groups of patients.Result:The mortality,postoperative complications,and length of stay in the puncture group were lower than that in the laparotomy group,and the cure rate was higher than that in the laparotomy group.The difference was statistically significant(P<0.01).Conclusion:Compared with traditional open abdominal debridement and drainage therapy,puncture catheter drainage has less trauma and simple operation.It is a safe and effective method to treat residual empyema after necrotizing tissue clearance with SAP patients.