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[目的]探讨超声引导经皮穿刺置管引流(pertutaneous catheter drainage,PCD)在治疗急性胰腺炎胰周积液的临床价值。[方法]入选急性胰腺炎并胰周积液患者60例,分为对照组、观察组,每组30例。2组均行常规治疗;观察组在此基础上行PCD治疗,检查穿刺液是否伴感染、随访临床症状、并发症、引流效果及影像学的改变。[结果]治疗后对照组总有效22例,观察组总有效28例,2组总有效率比较差异有统计学意义(P<0.05)。观察组共穿刺65例次,2例死于感染和器官功能衰竭;继发胰腺假性囊肿9例,其中5例在6周内自行吸收,4例3个月后手术行囊肿空肠吻合术。[结论]PCD作为急性胰腺炎胰周积液的确定性介入治疗手段,引流成功率高、安全性较好,但仍需根据病情个体化综合性治疗。
[Objective] To explore the clinical value of ultrasound-guided percutaneous catheter drainage (PCD) in the treatment of peripancreatic effusion in acute pancreatitis. [Methods] 60 patients with acute pancreatitis and peripancreatic fluid were divided into control group and observation group with 30 cases in each group. The patients in the two groups underwent routine treatment. The observation group was treated with PCD on the basis of this study. The patients were followed up for clinical symptoms, complications, drainage and imaging changes. [Result] The total effective rate was 22 cases in the control group and 28 cases in the observation group. There was significant difference in the total effective rate between the two groups (P <0.05). A total of 65 cases of puncture in the observation group, 2 patients died of infection and organ failure; pancreatic pseudocyst in 9 cases, of which 5 cases were self-absorbed within 6 weeks, 4 cases 3 months after operation cyst jejunum anastomosis. [Conclusion] PCD is a definite interventional therapy for pancreatic peripancreatic fluid in acute pancreatitis. The success rate of drainage is high and the safety is good. However, PCD still needs to be treated individually and comprehensively.