Clinical efficacy of intraperitoneal multi-channel puncture and drainage combined with debridement of minimally invasive necrotic tissue in treatment of acute necrotizing pancreatitis

doi:10.3877/cma.j.issn.2095-9133.2019.01.004

Abstract

Abstract:

Objective

To evaluate the clinical effects of multi-channel puncture and drainage combined with debridement of minimally invasive necrotic tissue in the treatment of acute necrotizing pancreatitis, and to provide guidance for the clinical treatment of acute necrotizing pancreatitis.

Methods

130 cases of acute necrotizing pancreatitis treated in our hospital from January 2016 to December 2017 were divided into group A and group B. Among them, group A was treated with multi-channel abdominal puncture and drainage, and group B was treated with transperitoneal multi-channel puncture and drainage combined with debridement of minimally invasive necrotic tissue in the later period and the therapeutic effect of patients were observed.

Results

It was found that the number of cured cases in group B (59 cases) was higher than that in group A (45 cases), and the difference was statistically significant (P<0.05). During the treatment period, the time of disappearance of related tenderness symptoms (group A 5.5+ 0.7 d, group B 2.9+ 0.8 d), the time of disappearance of abdominal pain symptoms (group A 68.3+ 14.2 h, group B 21.4+ 9.3 h), hospitalization time (group A 37.3+ 24.3 d, group B 26.3+ 15.2 d) and complications (group A 16 cases, group B 7 cases) were better than group A, the difference was statistically significant (P<0.05).

Conclusions

Transabdominal multichannel abortion drainage combined with minimally invasive necrotic tissue debridement has a good effect in the treatment of acute necrotizing pancreatitis, with improved prognosis. It deserves to be further clinically applied.

Key words: Acute necrotizing pancreatitis, Minimally invasive surgery, Puncture and drainage, Clinical study

Hongbing Yao, Wei Guo, Guixian Li, Jianhui Jiang, Jiaxing Wu. Clinical efficacy of intraperitoneal multi-channel puncture and drainage combined with debridement of minimally invasive necrotic tissue in treatment of acute necrotizing pancreatitis[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2019, 05(01): 15-17.

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References 13

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效果指标	例数	治愈(%)	未治愈(%)	死亡(%)	压痛消失时间(d，±s)	腹痛缓解时间(h，±s)	住院时间(d，±s)	严重并发症(%)
A组	63	45(71.43)	15(23.81)	3(4.76)	5.5±0.7	68.3±14.2	37.3±24.3	16(25.40)
B组	67	59(88.06)	7(10.45)	1(1.49)	2.9±0.8	21.4±9.3	26.3±15.2	7(10.45)
χ²/t值	?	8.56	6.40	1.44	19.67	22.41	3.11	7.60
P值	?	<0.05	<0.05	>0.05	<0.05	<0.05	<0.05	<0.05

效果指标	例数	治愈(%)	未治愈(%)	死亡(%)	压痛消失时间(d，±s)	腹痛缓解时间(h，±s)	住院时间(d，±s)	严重并发症(%)
A组	63	45(71.43)	15(23.81)	3(4.76)	5.5±0.7	68.3±14.2	37.3±24.3	16(25.40)
B组	67	59(88.06)	7(10.45)	1(1.49)	2.9±0.8	21.4±9.3	26.3±15.2	7(10.45)
χ²/t值	?	8.56	6.40	1.44	19.67	22.41	3.11	7.60
P值	?	<0.05	<0.05	>0.05	<0.05	<0.05	<0.05	<0.05

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