感染性胰腺坏死内镜下引流清创的时机及技术要点
Key issues in endoscopic drainage and debridement treatment in acute necrotizing pancreatitis
何文华 1祝荫1
作者信息
- 1. 南昌大学第一附属医院消化内科胰腺疾病诊治中心,江西南昌 330006
- 折叠
摘要
感染性胰腺坏死是急性坏死胰腺炎后期的主要局部并发症,是住院时间延长及死亡的主要原因.目前认为微创升阶梯治疗优于传统外科开放手术,其中内镜升阶梯治疗的并发症发生率较外科微创手术更低、住院时间和住院费用更少,在国际上被推荐为首选干预方法.微创升阶梯疗法包括初始的超声内镜引导下透壁引流或经皮穿刺引流,必要时行内镜经胃坏死清创术、视频辅助腹膜后清创术或经皮窦道内镜清创术.
Abstract
Infected pancreatic necrosis is a major local complication in the later stages of acute necrotizing pancreatitis,and it is the main cause of prolonged hospitalization and death.Minimally invasive step-up therapy is currently considered superior to traditional open surgery,and endoscopic step-up therapy is internationally recommended as the preferred intervention method because it has fewer complications,less hospitalization time,and less hospitalization cost than minimally invasive surgical procedures.Minimally invasive step-up therapy includes initial endoscopic transmural drainage or percutaneous drainage,and endoscopic transgastric necrosectomy,video-assisted retroperitoneal debridement,or sinus tract endoscopy if necessary.
关键词
急性坏死性胰腺炎/包裹性坏死/内镜治疗Key words
acute necrotizing pancreatitis/walled-off necro-sis/endoscopic therapy引用本文复制引用
基金项目
国家自然科学基金(81860122)
江西省杰出青年人才资助计划(20192BCBL23021)
江西省重点研发计划(20202BBGL73016)
江西省卫生计生委科技项目(20191015)
江西省卫生计生委科技项目(202130283)
出版年
2024
国家科技期刊平台
NSTL
万方数据