摘要
目的探讨十二指肠镜及腹腔镜联合动脉区域灌注治疗急性重症胰腺炎(SAP)的效果。方法将67例SAP患者随机分为常规治疗组(32例)和联合治疗组(35例)。常规组进行常规内科治疗,联合组在常规内科治疗基础上附加动脉区域灌注、十二指肠镜胰胆管引流及腹腔镜胰腺包膜打开引流。对比两组有关临床指标和治疗效果。结果联合组APACHEII评分明显降低,肝、肾功能明显改善,胰腺损害的CT评分显著降低,炎症因子TNF-α及IL-1β明显降低,IL-10明显升高,器官衰竭发生率明显下降,器官衰竭治疗成功率明显升高,病死率均明显降低。以上两组比较均有显著差异(P<0.05)。结论在常规治疗基础上附加动脉区域灌注、十二指肠镜胰胆管引流及腹腔镜胰腺包膜打开引流,能有效提高SAP的治疗效果,降低病死率。
Objective To study the effect of laparoscopy combined with endoscopic and digital subtraction angiography in the treatment of severe acute pancreatitis (SAP). Methods Nine-seven SAP patients were randomly divided into group A (n=32) with conventional treatment and group B (n=35) with combined treatment with laparoscopy, endoscopic and digital subtraction angiography in addition to the conventional treatment. The clinical indices and therapeutic effects in the 2 groups were compared. Results After treatment,...
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2009年第8期1620-1622,共3页
Journal of Southern Medical University
基金
广东省中医药局资助项目(1060015)
关键词
胰腺炎
急性坏死性
腹腔镜
十二指肠镜
动脉区域灌注
pancreatitis
acute necrotizing
aparoscopy
endoscopic
digital subtraction angiography
