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題名 | Abdominal Fluid Collection Secondary to Acute Pancreatitis: Treated with Percutaneous Catheter Drainage=急性胰臟炎併發腹腔內積液:以經皮穿刺導管引流 |
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作者姓名(中文) | 陳永芳; 蔣咸嘉; 張正和; | 書刊名 | 中華醫學雜誌 |
卷期 | 60:5 1997.11[民86.11] |
頁次 | 頁265-272 |
分類號 | 415.542 |
關鍵詞 | 介入性行為; 胰臟炎; 胰臟膿瘍; 經皮引流; Interventional Procedure; Pancreatitis; Pancreatic abscess; Percutaneous drainage; |
語文 | 英文(English) |
中文摘要 | 背景:併發性的胰臟發炎性疾病通常是對生命有威脅力性的,多發性的,及多菌性的病變。如果不治療,這些病害常常是致命的。本文主要描述介入性放射線技術對於胰臟炎且併發胰臟旁積液的診斷及治療。 方法:從1994年一月至1995年十二月,共有17位患有急性胰臟炎且併發腹腔內積液的病人,藉由電腦斷層掃描的最初診斷,接受經皮穿刺導管引流。這些病人需要多次的電腦斷層掃描檢查,多次的引流導管的插入,多次的引流導管的操作,以及長時間的導管引流。 結果:在這17位病患中共有25個受感染的積液被引流。單靠導管引流有16位患者(94%)得到成功的治療。只有一位患者因為橫結腸系膜發炎及沾粘所造成的一段橫結腸狹窄的併發症而接受外科手術治療。導管引流的時間平均為31天。患者平均需要三次的導管操作及四次電腦斷層掃描。平均住院天數為42天(範圍,111-95天),平均住加護病房天數為25天(1-70天)。 結論:此研究證實了大部分患有胰臟炎且併發胰臟旁積液的患者,可以成功且有效地藉由經皮穿刺導管引流術來獲得治療。 |
英文摘要 | Background: Complicated pancreatic inflammatory diseases are often life-threatening, multifocal, and multibacterial disorders. Untreated, these lesions often prove fatal. The purpose of the study is to describe interventional radiologic techniques for diagnosis and treatment of complicated peripancreatic fluid collections. Methods: Between January 1994 and December 1995, 17 patients with abdominal fluid collection from complicated acute pancreatitis underwent percutaneous drainage following initial diagnosis with computed tomography (CT). These patients required multiple CT examinations, multiple catheter insertions, multiple catheter manipulations, and long-term catheter drainage. Results: Twenty-five infected fluid collections among these 17 patients were percutaneously drained. Sixteen (94%) patients were successfully treated with catheter drainage alone. Surgical treatment was necessary in one patient because of segmental stricture of transverse of segmental stricture of transverse colon caused by inflammation and adhesion of transverse mesocolon. Catheter drainage duration averaged 31 days. Patients required an average of three catheter manipulations and four abdominal CT scans. Mean hospital stay was 42 days (range, 11-95 days), and mean ICU stay was 25 days (range, 1-70 days). Conclusions: The study confirms that complicated peripancreatic fluid collections can be safely and effectively treated in most patients with percutaneous catheter technique. |
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