摘要: |
目的 探讨CT引导下经皮穿刺置管引流应用于胰腺术后腹腔感染的可行性、安全性及疗效。方法 回顾性纳入胰腺术后腹腔积液合并感染并接受CT引导下经皮穿刺置管引流的患者,分析穿刺置管对患者腹腔积液感染的治疗效果。结果 纳入8例胰腺术后患者,术后均出现腹腔积液合并腹腔感染。共完成10次CT引导下穿刺置管引流,置管13根,穿刺成功率100%。穿刺管引流液淀粉酶含量较高者达92.3%(12/13),细菌培养阳性率达100%,联合应用抗生素治疗后均治愈。结论 CT引导下经皮穿刺置管引流是胰腺术后腹腔积液感染治疗的重要手段,安全有效、创伤小。 |
关键词: CT引导下经皮穿刺置管引流 胰腺手术 腹腔积液 腹腔感染 |
DOI:10.12025/j.issn.1008-6358.2022.20220055 |
分类号:R576 |
基金项目:国家自然科学基金(82173116). |
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Application of CT-guided percutaneous catheter drainage in the patients with intra-abdominal fluid infection following pancreatic surgery |
WANG Huan-yu1, ZHANG Lei2, JIN Da-yong2, LOU Wen-hui2, RONG Ye-fei2
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1.Department of General Surgery, Xuhui District Central Hospital, Shanghai 200031, China;2.Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
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Abstract: |
Objective To explore the feasibility, safety and therapeutic efficacy of CT-guided percutaneous puncture catheter drainage (CT-PCD) in intra-abdominal fluid collection and infection after pancreatic associated surgery. Methods The patients with intra-abdominal fluid collection and infection after pancreatic surgery and treated with CT-PCD were retrospectively included. The effect of CT-PCD on these patients was analyzed. Results All patients developed intra-abdominal fluid collection and infection after surgery. And a total of 10 times of CT-PCD were successfully performed and 13 drainage tubes were placed. The bacteria culture-positive rate of drainage fluid was 100%. And the amylase level was elevated in 92.3% (12/13) of the drainage fluids. All patients were cured by CT-PCD combined with antibiotic therapy. Conclusion CT-PCD is a safe, more accurate, and less traumatic method for patients with intra-abdominal fluid collection and infection after pancreatic surgery. |
Key words: CT-guided percutaneous catheter drainage pancreatic surgery intra-abdominal fluid collection intra-abdominal fluid infection |