中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
1期
52-54
,共3页
重症急性胰腺炎%腹腔引流%Seldinger置管法
重癥急性胰腺炎%腹腔引流%Seldinger置管法
중증급성이선염%복강인류%Seldinger치관법
Severe acute pancreatitis%Peritoneal drainage%Seldinger catheter method
目的：探讨Seldinger置管法腹腔引流术治疗重症急性胰腺炎的临床效果。方法根据治疗方法的不同，将本院2012年4月~2014年4月收治的60例重症急性胰腺炎患者分为研究组和对照组各30例，对照组实施常规治疗，研究组在对照组基础上行Seldinger置管法腹腔引流术。观察、记录研究组患者的术中出血量、手术时间、腹内压下降、排气时间等，比较两组的腹痛缓解时间、住院时间以及并发症发生率。结果研究组患者的腹痛缓解时间、住院时间均明显短于对照组，差异有统计学意义(P<0.05)；研究组的腹腔感染、器官衰竭、胰腺脓肿、假性囊肿、急性液体积聚的发生率及中转手术率均显著低于对照组，差异有统计学意义(P<0.05)。结论 Seldinger置管法腹腔引流术治疗重症急性胰腺炎具有方法简便、创伤小、引流效果好、并发症少等优势，是非手术治疗重症急性胰腺炎的理想方法。
目的：探討Seldinger置管法腹腔引流術治療重癥急性胰腺炎的臨床效果。方法根據治療方法的不同，將本院2012年4月~2014年4月收治的60例重癥急性胰腺炎患者分為研究組和對照組各30例，對照組實施常規治療，研究組在對照組基礎上行Seldinger置管法腹腔引流術。觀察、記錄研究組患者的術中齣血量、手術時間、腹內壓下降、排氣時間等，比較兩組的腹痛緩解時間、住院時間以及併髮癥髮生率。結果研究組患者的腹痛緩解時間、住院時間均明顯短于對照組，差異有統計學意義(P<0.05)；研究組的腹腔感染、器官衰竭、胰腺膿腫、假性囊腫、急性液體積聚的髮生率及中轉手術率均顯著低于對照組，差異有統計學意義(P<0.05)。結論 Seldinger置管法腹腔引流術治療重癥急性胰腺炎具有方法簡便、創傷小、引流效果好、併髮癥少等優勢，是非手術治療重癥急性胰腺炎的理想方法。
목적：탐토Seldinger치관법복강인류술치료중증급성이선염적림상효과。방법근거치료방법적불동，장본원2012년4월~2014년4월수치적60례중증급성이선염환자분위연구조화대조조각30례，대조조실시상규치료，연구조재대조조기출상행Seldinger치관법복강인류술。관찰、기록연구조환자적술중출혈량、수술시간、복내압하강、배기시간등，비교량조적복통완해시간、주원시간이급병발증발생솔。결과연구조환자적복통완해시간、주원시간균명현단우대조조，차이유통계학의의(P<0.05)；연구조적복강감염、기관쇠갈、이선농종、가성낭종、급성액체적취적발생솔급중전수술솔균현저저우대조조，차이유통계학의의(P<0.05)。결론 Seldinger치관법복강인류술치료중증급성이선염구유방법간편、창상소、인류효과호、병발증소등우세，시비수술치료중증급성이선염적이상방법。
Objective To investigate the clinical efficacy of Seldinger catheter method peritoneal drainage in the treat-ment of severe acute pancreatitis. Methods According to different treatments,60 cases of patients with severe acute pancreatitis treated in our hospital from April 2012 to April 2014 were divided into research group (n=30) and control group (n=30),the conventional treatment was taken to the control group,Seldinger catheter method peritoneal drainage was added to the research group on the basis of control group.The blood loss,operative time,intra-abdominal pressure drop,exhaust time of research group was recorded,the time of abdominal pain,hospital stay and the incidence of compli-cation in the two groups was compared. Results The time of abdominal pain,hospital stay of research group was shorter than that of control group,the difference was significant (P<0.05);The incidence of abdominal infections,organ failure, pancreatic abscess,pseudocyst,acute fluid accumulation,and the rate of surgical intervention in the research group was lower than that of the control group,the difference was significant (P<0.05). Conclusion Seldinger catheter method peri-toneal drainage in the treatment of severe acute pancreatitis has the advantages of simple,less invasive,good drainage ef-fect,fewer complications,is the ideal way to treat severe acute pancreatitis by non-surgical treatment.
