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目的分析经皮穿刺置管引流与直接开腹手术引流治疗重症急性胰腺炎的效果。方法 100例重症急性胰腺炎患者,随机分为开腹组和经皮穿刺组,各50例。开腹组行直接开腹手术引流,经皮穿刺组行经皮穿刺置管引流。对比两组患者重症加强护理病房(ICU)治疗时间、症状缓解时间、治疗效果和并发症。结果经皮穿刺组患者ICU治疗时间、腹部压痛缓解时间、血清和尿淀粉酶复常时间均明显短于开腹组,差异均具有统计学意义(P<0.05)。经皮穿刺组患者总有效率98.00%明显高于开腹组76.00%,并发症发生率16.00%少于开腹组64.00%,差异均具有统计学意义(P<0.05)。结论经皮穿刺置管引流治疗重症急性胰腺炎效果确切,可更好改善患者临床症状,缩短ICU治疗时间,减少并发症的出现,值得推广。
Objective To analyze the effect of percutaneous catheter drainage and direct open drainage on severe acute pancreatitis. Methods 100 cases of severe acute pancreatitis were randomly divided into open group and percutaneous puncture group, 50 cases each. The laparotomy group underwent direct laparotomy and the percutaneous puncture group received percutaneous puncture and catheter drainage. The intensive care unit (ICU) treatment time, symptom relief time, treatment effect and complication were compared between the two groups. Results The ICU treatment time, abdominal tenderness relief time, serum and urine amylase time were significantly shorter in the percutaneous puncture group than those in the open group. The differences were statistically significant (P <0.05). The total effective rate of percutaneous puncture group was 98.00%, significantly higher than that of open group (76.00%). Complication rate was 16.00% less than that of open group (64.00%). The differences were statistically significant (P <0.05). Conclusion Percutaneous puncture and catheter drainage for the treatment of severe acute pancreatitis has definite effect, which can improve the clinical symptoms, shorten the time of ICU treatment and reduce the complications. It is worth to be popularized.