Abstract：Objective To investigate the clinical efficacy of CT-guided percutaneous puncture with drainage tubes of different diameters for severe acute pancreatitis.Methods Thirty-six patients with severe acute pancreatitis admitted to the Emergency Department of the Second Affiliated Hospital of Anhui Medical University between October 2015 and October 2017 were enrolled in this retrospective study. The observation group included 18 patients who had larger-diameter drainage tubes (21-30F)implanted , while the other 18 patients (the control group) use dsmall-diameter drainage tubes (10-20F). Such parameters as the time taken by the recovery of clinical symptoms , length of hospital stay, the time it took laboratory indexes and SIRS scores to return to normal were compared between the two groups.Results The time it took abdominal pain to disappear after treatment in the observation group and the control group was (3.74±1.11,5.27±1.21) d, the time taken by the relief of abdominal distension was (8.87±1.37,11.42±1.69) d, the time white blood cells took to return to normal was (7.78±0.81, 11.47±1.34) d, platelet count was (6.93±0.88,8.15±1.59) d, blood amylase was (6.23±0.71,7.71±0.58) d, and lipase was (8.21±0.83,10.28±0.93) d.The difference was statistically significant (P<0.05). The total length of hospital stay of the observation group and the control group was (17.93±0.51,18.09±0.74) d, and the time taken by blood glucose recovery was (10.44±1.11,10.09±0.89) d, but there was no significant difference between the two groups. The SIRS scores after catheterization were significantly higher than before catheterization. (P<0.05).Conclusions The use of drainage tubes of larger diameters in CT-guided percutaneous puncture can more effectively improve the clinical symptoms and reduce the degree of inflammation than that of small-diameter ones. It can play an important role in improving the curative effect of severe acute pancreatitis.
吕贺贺, 高明, 王伟, 李贺. CT引导下经皮穿刺置入不同管径引流管治疗重症急性胰腺炎的临床疗效[J]. 武警医学, 2018, 29(11): 1040-1043.
LV Hehe, GAO Ming, WANG Wei, LI He. CT-guided percutaneous puncture with drainage tubes of different diameters for severe acute pancreatitis. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(11): 1040-1043.
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