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A Journal on Surgery
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877
Minerva Chirurgica 2016 February;71(1):25-30
Clinical study of B-mode ultrasound-guided retroperitoneal and abdominal catheter treatment of severe acute pancreatitis
Wei QIU, Xiaodong SUN, Feng WEI, Guangyi WANG, Junfeng YE, Guoyue LV ✉
Department of Hepatobiliary Pancreatic Surgery, Hospital No. 1, Jilin University, Changchun, China
BACKGROUND: The aim of this study was to investigate the clinical efficacy of B-mode ultrasound-guided retroperitoneal and abdominal catheter treatment of severe acute pancreatitis.
METHODS: A retrospective analysis was performed, regarding 68 patients diagnosed with severe acute pancreatitis in our hospital from May 2012 to May 2014. Patients were divided into an observation group (N.=38) and a control group (N.=30). Patients in the control group received conventional drug therapy and were given CT-guided catheter or surgical treatment when necessary. The observation group received conventional drug therapy + B-mode ultrasound-guided retroperitoneal and abdominal catheter drainage and lavage. The clinical efficacy and complication rate differences of the two groups of patients were compared and analyzed.
RESULTS: The total efficacy rates in the observation group were significantly higher than in the control group (P<0.05). The serum calcium levels of the observation group were obviously higher than that of the control group while their CRP levels and APACHE II scores were significantly lower (P<0.05). Complications were significantly lower in the observation group than in the control group (P<0.05).
CONCLUSIONS: B-mode ultrasound-guided biopsy for retroperitoneal and abdominal subcutaneous catheter drainage and lavage treatment of severe acute pancreatitis may improve the clinical effect and reduce complications.