RESUMEN
Severe acute pancreatitis (SAP) is an acute abdominal disease characterized by acute onset, serious illness, multiple complications, and high mortality. Surgical interventions have been used throughout the treatment of SAP for a long time, including traditional surgical treatments led by laparotomy and modern surgical treatments led by minimally invasive surgery. Especially in the past 10 years, with the deep understanding of the etiology and pathology of SAP and the increasing complications of traditional surgical treatments, a series of minimally invasive surgical techniques are widely applied in the clinical treatment of SAP, which achieved satisfactory clinical results. Among them, ultrasonic intervention technology plays a key role in the advantages of convenience, minimal invasiveness and strong repeatability. Based on recent literatures at home and abroad, this article reviews the application value of ultrasound interventional techniques in the treatment of SAP.
RESUMEN
Severe acute pancreatitis (SAP) is an acute abdominal disease characterized by acute onset,serious illness,multiple complications,and high mortality.Surgical interventions have been used throughout the treatment of SAP for a long time,including traditional surgical treatments led by laparotomy and modern surgical treatments led by minimally invasive surgery.Especially in the past 10 years,with the deep understanding of the etiology and pathology of SAP and the increasing complications of traditional surgical treatments,a series of minimally invasive surgical techniques are widely applied in the clinical treatment of SAP,which achieved satisfactory clinical results.Among them,ultrasonic intervention technology plays a key role in the advantages of convenience,minimal invasiveness and strong repeatability.Based on recent literatures at home and abroad,this article reviews the application value of ultrasound interventional techniques in the treatment of SAP.
RESUMEN
Object ive To find related risk factors after PEIT under ultrasound .Methods We collected the data of 73 clinical PEIT cases from January 2007 to December 2011 .Univariate analysis found the related risk factors of PEIT.Multivariate analysis identified the independent risk factors .Results Single factor analysis showed that the differences between groups of patient′s sex,age,the positive and negative of serum HBsAg ,tumor location,tumor number in survival rates were not statistically significant;the differences in groups of tumor size , serum AFP levels,with or without portal vein tumor thrombus ,liver function(Child)grade,tumor type in survival rates were significant differences .Multivariate and stepwise regression analysis showed that liver function ( Child) grade,tumor type,tumor metastasis,portal vein thrombosis were factors relevant to prognosis ;all chi-square test,χ2=47.763,P<0.01;likelihood ratio test χ2=450.546 ,P<0.01.Conclusion liver function ( Child-pugh grade),pathological type of tumors,tumor′s metastasis,emboli in portal vein are the risk factors after PEIT .