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目的:探讨CT引导下经皮穿刺置管引流治疗重症急性胰腺炎(SAP)腹膜后脓肿和积液的有效性和安全性。方法:应用CT引导经皮穿刺置管引流治疗11例重症急性胰腺炎(SAP)合并腹膜后脓肿及积液,观察其疗效。结果:本组病例采用该方法治疗全部治愈,未发生与穿刺相关的并发症,引流导管放置时间(21~78)天,平均56天,出院后(1~3)个月复查B超及CT未发现残余感染。结论:CT引导下经皮穿刺置管引流术微创、靶向精确,并可有效控制感染,是治疗重症急性胰腺炎腹膜后脓肿和积液的有效和安全方法。
Objective: To investigate the effectiveness and safety of CT-guided percutaneous catheter drainage in the treatment of retroperitoneal abscess and effusion of severe acute pancreatitis (SAP). Methods: CT guided percutaneous catheter drainage for the treatment of 11 cases of severe acute pancreatitis (SAP) combined with retroperitoneal abscess and effusion, to observe its efficacy. Results: All the patients were cured by this method. There was no complication associated with puncture. The drainage catheter placement time (21 ~ 78) days, an average of 56 days, after discharge (1 ~ 3) months review B ultrasound and CT No residual infection was found. Conclusion: CT-guided percutaneous catheter drainage minimally invasive, accurate targeting, and can effectively control infection, is an effective and safe treatment of retroperitoneal abscess and effusion of severe acute pancreatitis.