Clinical application of ultrasound-guided percutaneous catheter drainage in children with pancreatitis
10.3760/cma.j.cn101070-20240508-00280
- VernacularTitle:超声引导下经皮引流术在儿童胰腺炎中的临床应用
- Author:
Hongling GUO
1
;
Mingman ZHANG
1
;
Xiaoke DAI
1
;
Qiang XIONG
1
Author Information
1. 重庆医科大学附属儿童医院肝胆外科，国家儿童健康与疾病临床医学研究中心，儿童发育疾病研究教育部重点实验室，儿童代谢与炎症性疾病重庆市重点实验室，重庆 400014
- Publication Type:Journal Article
- Keywords:
Child;
Acute pancreatitis;
Percutaneous drainage
- From:
Chinese Journal of Applied Clinical Pediatrics
2025;40(1):17-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical application of ultrasound-guided percutaneous catheter drainage in the management of pediatric pancreatitis, delineate the indications, and assess the efficacy and safety of the procedure.Methods:A retrospective case analysis.Eighteen patients who underwent ultrasound-guided percutaneous drainage at Children′s Hospital of Chongqing Medical University from September 2018 to January 2023 were conducted.The cohort comprised 10 males and 8 females aged 1 year 4 months to 15 years and 9 months.The causes of disease were traumatic pancreatitis (9 cases), acute pancreatitis (8 cases), and recurrent pancreatitis (1 case).The disease duration ranged from 1 day to 5 months.The indications for the procedure included acute peripancreatic fluid collection with infection and peritonitis, pancreatic pseudocyst, progressive increase of acute peripancreatic fluid collection, or compression symptoms.Patients′ clinical data, including drainage site, drainage condition, puncture technique, puncture success rate and puncture complications, were collected and analyzed.Results:Nineteen drainage procedures were all successfully performed on the 18 children, and no puncture injury, drainage tube obstruction, drainage tube infection, and other complications were observed.Postoperative drainage volume on the first day ranged from 100 mL to 1 010 mL.Postoperative catheterization time spanned from 6 to 93 days, with a median of 29 days.One patient experienced drainage tube displacement after surgery, and one patient progressed to chronic pancreatitis.The remaining patients achieved clinical cure and had their drainage tubes removed.No serious short-term or long-term complications were noted postoperatively.Conclusions:Ultrasound-guided percutaneous drainage emerges as an effective therapeutic approach for children with acute pancreatitis, offering advantages such as favorable efficacy, straightforward operation, high safety, and minimal trauma.
