U形管引流胰周、腹膜后脓肿的效果评价

Clinical Evaluation of U-fashion Tube Drainage in Peripancreatic and Retroperitoneal Abscess

目的 :探讨胰周、腹膜后脓肿清创术后引流的有效方法。方法 :回顾总结 1987年～ 2 0 0 1年 34例重症胰腺炎并发胰周、腹膜后脓肿行清创后U形管、双套管引流病人的临床资料。结果 :U形管组和双套管组的引流管阻塞、再手术清创及脓肿治愈时间有显著差异 (P <0 .0 5 ) ,U形管临床效果优于双套管。结论 :重症胰腺炎胰周。

Objective: To explore the effective methods of surgical drainage to peripancreatic and retroperitoneal abscess in severe acute pancreatitis. Methods: A retrospective analysis was made on the clinical data of 34 severe acute pancreatitis cases complicated with peripancreatic or/and retroperitoneal abscess and underwent debridement followed by drainage with U-fashion tube or Bi-sleeve tube. Results: In all the cases,U-fashion tube and Bi-sleeve tube groups had significant difference in tube blockage, rate of reoperation and the time of abscess healing( P <0.05). The clinical effects of U-fashion tube were better than that of Bi-sleeve tube. Conclusion: The drainage of U-fashion tube is an effective technique for treating peripancreatic and retroperitoneal abscess.