To explore the timing of percutaneous catheter drainage in fluid aggregation and encapsulation necrosis of acute necrotizing pancreatitis
10.3760/cma.j.issn.115807-20190815-00164
- VernacularTitle:经皮穿刺置管引流在重症急性胰腺炎治疗中应用时机的选择对患者预后影响
- Author:
Hang LIU
1
;
Wei HUANG
;
Yuxi FENG
;
Yu LI
;
Jinzhi LI
;
Gang MAI
Author Information
1. 德阳市人民医院基本外科 618000
- From:
Chinese Journal of Endocrine Surgery
2020;14(3):199-203
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the impact of timing of percutaneous catheter drainage (PCD) application (ANC and WON) on outcomes and complications in severe acute pancreatitis (SAP) treatment.Methods:The clinical data of 75 SAP patients treated with PCD from Jan. 1, 2018 to Dec.31, 2018 in Pancreatitis Treatment Center of Deyang People’s Hospital were retrospectively analyzed. The clinical manifestations, application period and curative effect of PCD were analyzed.Results:Among the 75 patients, 51 (68%) were ANC patients, (32%) were WON patients, 0 (0%) died, 70 (93.3%) were cured, and 5 (6.7%) underwent further surgical treatment. There was no significant difference between the average time of PCD application, or complications (such as pancreatic fistulae, catheter obstruction or falling and haemorrhage) ( P>0.05) . Conclusion:Percutaneous catheter drainage in different stages of acute necrotizing pancreatitis does not affect its safety and efficacy, and delayed use don’t have better curative effect.