马力?李晓锋?熊燃?李海量?曾洁?刘红梅

    【摘要】目的 探討中度重症急性胰腺炎早期超声引导下经皮穿刺置管引流术的临床价值。方法 收集89例中度重症急性胰腺炎患者的临床资料，所有患者在入院后均按照《中国急性胰腺炎诊治指南2013》诊治标准进行规范诊治。根据其是否有在早期行超声引导下经皮穿刺置管引流术分为引流组38例和对照组51例，比较2组住院期间病死率、转重症急性胰腺炎率、转外科手术率、住院时间和并发症(感染、胰腺假性囊肿、腹腔内出血、腹腔间室综合征)发生率等。结果 引流组病死率为5%、转重症急性胰腺炎率为18%、转外科手术率为8%，均低于对照组相应的22%、45%、26%(P均 0.05)。结论 早期行超声引导下PCD能有效改善中度重症急性胰腺炎患者预后，缩短其住院时间，减少并发症的发生，且不会增加因穿刺引起的腹腔感染、出血风险。

    【关键词】中度重症急性胰腺炎;超声;经皮穿刺引流术;住院时间;并发症

    Clinical value of early ultrasound-guided percutaneous catheter drainage for moderately severe acute pancreatitis Ma Li， Li Xiaofeng， Xiong Ran， Li Hailiang， Zeng Jie， Liu Hongmei. The Second School of Clinical Medicine， Southern Medical University， Guangzhou 510280， China

    Corresponding author， Liu Hongmei， E-mail： hongmeiliu3@ 163. com

    【Abstract】Objective To evaluate the clinical value of early ultrasound-guided percutaneous catheter drainage for moderately severe acute pancreatitis (MSAP). Methods Clinical data of 89 MSAP patients were retrospectively analyzed. All patients were divided into two groups. In the drainage group (n = 38) ......