Abstract:

The clinical value of ultrasoundguided percutaneous tube drainage in treatment for severe acute pancreatitis. *Chen Huanwei,Cui Weizhen,Wang Junhua,et al.* Department of hepatobilliary,The First People’s Hospital of FoShan.GuangDong,Foshan 528000,China Abstract Objective To explore the clinical value of ultrasoundguided percutaneous tube drainage in treatment for severe acute pancreatitis. Methods Nine cases of severe acute pancreatitis were treated with multiple nonsurgical methods including ultrasoundguided percutaneous tube drainage from Jan,2002 to Jun,2004.To the 6 cases that combined with peritoneal exudate,percutaneous tubes were placed under the guidance of ultrasound for the aim of drainage and peritoneal lavage.To the 4 cases that combined with peripancreatic fluid collection and infection,percutaneous tube drainage was also performed under the guidance of ultrasound. Results All of the 9 patients were cured without surgical intervention,including 1 case of fulminant acute pancreatits.The period of peritoneal drainage was 5 to 7 days,and the time of peripancreatic drainage was 7 to 60 days (mean 30 days).The hospitalization time was 32 to 152 days (mean 68 days). Conclusion Ultrasoundguided percutaneous tube drainage is a convenient,safe and effective treatment for severe acute pancreatitis combining with large amount of peritoneal exudete or peripancreatic fluid and infection.Its successful application can provide useful experience for nonsurgical treatment for severe acute pancreatitis.