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经皮穿刺置管引流在治疗急性坏死性胰腺炎中的应用价值

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Author:: No author available

Journal Title:: Chinese Journal of Pancreatology

Issue:: 6

DOI:: 10.3760/cma.j.issn.1674-1935.2018.06.021

Key Word:: No keyword available

Abstract：急性坏死性胰腺炎(acute necrotizing pancreatitis,ANP)的发病率占急性胰腺炎( AP)的15％～20％,病情险恶,病死率约为30％[1]. 经皮穿刺置管引流( percutaneous catheter drainage,PCD)治疗感染性胰腺坏死于 1998 年被 Freeny等[ 2 ]首次报道,其作用机制是在超声或CT引导下经皮穿刺留置导管引流胰腺周围脓肿及胰腺坏死组织,从而减少行外科坏死组织清除术( surgical necrosectomy ,SNT)的概率. PCD因简便、安全成为临床中常用的外科干预方式,对于诊断ANP感染、缓解腹腔内高压、控制包裹性腹腔或腹膜后积液继发感染均有帮助[3].

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