RESUMO
Results of examination and treatment of 60 patients, suffering pancreatogenic limited liquid accumulations (LLA) were analyzed, of them in 53 a puncturedraining interventions (PDI) were made under ultrasonographic investigation (USI), 7 were treated without surgical intervention. For the LLA maturity estimation important significance have their form, and еchogenicity, presence of vascular signals in the wall. Conservative therapy have appeared more effective while presence of a septic LLA, having diameter up to 5 cm without a wall formatted. Less mature are LLA, more probability exists of their regress after PDI, made under ultrasonographic control.
Assuntos
Líquido Ascítico/diagnóstico por imagem , Drenagem/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Pâncreas/diagnóstico por imagem , Pancreatite/diagnóstico por imagem , Doença Aguda , Adulto , Idoso , Idoso de 80 Anos ou mais , Líquido Ascítico/metabolismo , Líquido Ascítico/patologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Pâncreas/metabolismo , Pâncreas/patologia , Pâncreas/cirurgia , Pancreatite/patologia , Pancreatite/cirurgia , Estudos Retrospectivos , Tomografia Computadorizada Espiral , UltrassonografiaRESUMO
The results of examination and treatment of 53 patients on limited accumulations of liquid (LAL) for severe acute pancreatitis (SAP) were analysed. In 62.5% of patients on acute aseptic LAL celebrated parapancreatyc liquid accumulation were determinened. Most (94.6%) patients infected by LAL revealed heterogeneity of their structure according ultrasonography, in 81.1%--secvestral mass in their cavity. Systemic inflammatory response syndrome (SIRS) observed both aseptic and infected LAL. Prognostically important criteria LAL infection in patients on SAP is the heterogeneity of echostructure in absence of a downward trend. Diagnostic puncture under ultrasound control and microbiological studies are safe methods of diagnosis by infected LAL in SAP.