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目的探讨CT引导经皮穿刺置管引流(PCD)治疗重症急性胰腺炎合并胰腺坏死组织感染的临床应用价值。方法回顾性分析2013年1月至2015年1月安徽医科大学第二附属医院急诊外科应用PCD治疗25例重症胰腺炎合并胰腺坏死组织感染患者的临床资料。结果 25例患者共穿刺48次,穿刺成功率为100%;21例经PCD治疗成功,免于外科手术;3例经PCD治疗有效,减轻感染中毒症状延缓手术时机;1例引流无效死于多器官功能衰竭。结论 CT引导下PCD治疗重症胰腺炎合并胰腺坏死组织感染安全有效、创伤小,可避免或延缓传统外科手术。
Objective To investigate the clinical value of CT guided percutaneous catheter drainage (PCD) in the treatment of severe pancreatitis and pancreatic necrosis tissue infection. Methods The clinical data of 25 patients with severe pancreatitis complicated with pancreatic necrosis tissue infection from January 2013 to January 2015 in Department of Emergency Surgery, Second Affiliated Hospital of Anhui Medical University were retrospectively analyzed. Results Totally 48 punctures were performed in 25 patients, and the puncture success rate was 100%. Twenty-one patients were successfully treated with PCD, and were surgically removed. Three patients were treated with PCD, and the symptom of poisoning was alleviated. The timing of operation was delayed. Organ failure. Conclusion CT-guided PCD is safe and effective in the treatment of severe pancreatitis and pancreatic necrotic tissue infection with less trauma, which can avoid or delay traditional surgery.