论文部分内容阅读
目的 :探讨CT导引下对急性坏死性胰腺炎并发的胰周积液 ,脓肿或假性囊肿行穿刺、抽吸及注入抗生素治疗的价值。方法 :9例急性坏死性胰腺炎均在CT导引下行胰周积液 ( 4例 )、脓肿 ( 3例 )、假性囊肿 ( 2例 )穿刺、抽吸及注入抗生素治疗 ,最少治疗 2次 ,最多 4次。结果 :8例获得较好疗效 ,1例因脓肿与胃肠道相通 ,经 4次CT导引下介入治疗 ,病情稳定后转外科手术。随访 6例 ,随访时间 3～ 18个月 ,无 1例复发。结论 :CT导引下行胰周积液、脓肿和假性囊肿穿刺 ,抽吸及注入抗生素治疗急性坏死性胰腺炎是一种安全有效的介入治疗技术 ,其成功率高 ,并发症少 ,疗效肯定 ,死亡率低 ,病人痛苦少 ,可反复进行
Objective: To investigate the value of CT-guided treatment of peripancreatic effusion, abscess or pseudocyst with puncture, suction and antibiotic injection in acute necrotizing pancreatitis. Methods: All 9 cases of acute necrotizing pancreatitis were treated with CT guided drainage of peripancreatic fluid (4 cases), abscess (3 cases) and pseudocyst (2 cases). The patients were treated with antibiotics for at least 2 times , Up to 4 times. Results: Eight patients achieved better curative effect. One patient had an abscess communicating with the gastrointestinal tract. After four CT guided interventional treatments, the patient underwent surgical operation after being stable. Follow-up 6 cases, follow-up time of 3 to 18 months, no recurrence in 1 case. Conclusions: CT-guided peripancreatic fluid, abscess and pseudocyst puncture, aspiration and infusion of antibiotics in the treatment of acute necrotizing pancreatitis are safe and effective interventional techniques with high success rate, fewer complications and definite curative effect , Low mortality, patient suffering less, can be repeated