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| The Effect of Ultrasound Guided Percutaneous Catheter Drainage in the Treatment of Severe Acute Pancreatitis |
| HUI Min, LIU Xing, LAN Yu, et al |
| The People's Hospital of Guanghan, Sichuan Guanghan 618300, China |
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Abstract Objective: To study the clinical curative effect of ultrasound guided percutaneous catheter drainage in the treatment of severe acute pancreatitis. Methods: 84 cases with severe acute pancreatitis cured in our hospital from March 2014 to November 2015 were selected as the research object. All of them were divided into control group and observation group according to the random number table, 42 cases in the each group. Patients in the control group implemented with conservative treatment, and the observation group treated with ultrasound guided percutaneous catheter drainage on the basis of the above treatment measures. The clinical efficacy and complications of the two groups were analyzed.Results: After treatment, blood WBC, serum amylase in the observation group were significantly lower than those in the control group (P < 0.05). The serum calcium level in the observation group was higher than the control group, the difference was statistically significant (P < 0.05). The symptoms disappeared time, blood amylase recovery time and hospitalization time in observation group were significantly shorter than the control group (P < 0.05). The incidence abdominal infection and organ failure in observation group was significantly higher than the control group, the difference was statistically significant (P < 0.05). Conclusion: Ultrasound guided percutaneous catheter drainage has many advantages, has definite curative effect on severe acute pancreatitis, which has high value of clinical application.
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| Fund:四川省科技厅科技支撑计划,(编号:2015SZ23514) |
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[1] 芦波,钱家鸣.重症急性胰腺炎病因及发病机制研究进展[J].中国实用外科杂志,2012,32(7):590~592.
[2] 高道键,厉有名,虞朝辉.重症急性胰腺炎转归的早期危险因素分析[J].中华消化杂志,2015,25(8):454~457.
[3] 孙加奎,李维勤,王中秋,等.重症急性胰腺炎合并腹腔间室综合征CT特征分析[J].中国实用外科杂志,2013,31(9):816~819.
[4] 张金坤.重症急性胰腺炎急性液体积聚治疗体会[J].山东医药,2013,51(32):87~88.
[5] 王小梅,王梦娜,夏瑾,等.早期肠内营养对肥胖重症急性胰腺炎预后的影响[J].重庆医学,2016,45(15):2107~2109.
[6] 赵建忠,张鹏.老年急性胰腺炎的临床诊治[J].实用临床医药杂志,2016,20(1):149~150.
[7] 张太平,李建,赵玉沛.重症急性胰腺炎手术治疗时机及方式选择[J].中国实用外科杂志,2012,32(7):535~538.
[8] 王春友,李非,赵玉沛,等.急性胰腺炎诊治指南(2014)[J].中国实用外科杂志,2015,35(1):4~7.
[9] 中华医学会外科学分会胰腺外科学组.重症急性胰腺炎诊治草案[J].中华普通外科杂志,2001,16(11):699~700.
[10] 王庆华,王凤,栾顺莲,等.早期肠内营养对重症急性胰腺炎病人营养状况和预后影响[J].肠外与肠内营养,2014,17(5):274~276. |
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2017, Vol. 23 
