CT引导经皮穿刺引流术在重症急性胰腺炎中的作用

The study of CT guided percutaneous puncture and drainage in severe acute pancreatitis

目的探讨CT引导下经皮穿刺引流治疗急性重症胰腺炎的作用,总结相关的临床体会。方法回顾总结12例急性重症胰腺炎患者行CT引导下经皮穿刺引流治疗的临床、影像学检查和实验室检查资料,并同时收集14例急性重症胰腺炎按常规治疗的资料。比较联用和未联用穿刺引流的2组患者在临床疗效、实验室指标恢复时间、平均住院日、炎症恢复情况等方面的差异。结果治疗组患者在临床指标、实验室指标恢复时间、病死率、平均住院天数及SIRS积分的变化等方面均优于对照组,差异有统计学意义(P<0.05)。结论CT引导经皮穿刺引流治疗急性重症胰腺炎效果良好,可降低炎症程度,预防并发症,缩短住院时间,提高临床治愈率。

Objective We aimed to evaluate the role of CT guided percutaneous puncture and drainage in the treatment of severe acute pancreatitis and concluded the clinical.experience.Methods We retrospectively analyzed clinical,image and laboratory data of 12 patients with acute severe pancreatitis(9 male,3 female;mean age 48.24 + 7.59 years old,aged from 35~68 years)who performed CT-guide percutaneous puncture and drainage treatment.At the same time,we collected 14 patients' data with severe acute pancreatitis treated by conventional therapy.We compared differences between puncture drainage groups and control group in clinical recovery rate,mean hospitalization days,inflammation recovery rate et al.Results The treatment group in patients before and after puncture(including clinical symptoms,body temperature recovery time,abdominal symptoms,abdominal pain,eliminate time)laboratory indicators(including white blood cell count,C reaction protein,recovery time of blood amylase) and the incidence of complications,mortality rate,average hospitalization days and the change of the SIRS integral are good in the control group,was statistically significant.Conclusion CT guided percutaneous puncture drainage can effectively cure the acute severe pancreatitis,reduce the degree of inflammation,prevention of complications,shorten the hospitalization time and improve the clinical cure rate.