前言目的初步探讨重症急性
胰腺炎后
胰腺脓肿引流方法的选择指征及其疗效观察。方法收集我院近20年共58例胰腺脓肿病例,根据胰腺脓肿的大小、位置和形状分成三型,采用剖腹引流、经皮穿刺引流、低位小切口不经腹引流和F管引流四种方法。结果剖腹引流29例,其中10例需再次手术,4例经3次手术治愈,因大出血、
肠瘘等并发症死亡5例;经皮肤穿刺引流10例,6例治愈,4例中转开腹后治愈;经后腰低位小切口不经腹引流12例,均获痊愈;F管治疗7例,均获痊愈。结论重症胰腺炎后胰腺脓肿引流方法的合理选择与治疗效果直接相关,脓肿分型对引流方法的选择具有指导意义。
ObjectiveTosumupthetherapeuticexperienceforpancreaticabscesscomplicatedwithsevereacutepancretitis（SAP）andtocomparedthemethodsofdrainageaccordingtoitsclassification,soastoguidetheclinicalwork.MethodsAltogetherclinicaldatasof58patientswithpancreaticabscesswerecollectedinthelatest20years,pancreaticabscessweredividedinto3groupesaccordingtoitssize,locationaandfigure.Fourmethodsofdrainageincludingopenoperationdrainaging,percutaneouspunctured...
