外科理论与实践 ›› 2022, Vol. 27 ›› Issue (01): 46-51.doi: 10.16139/j.1007-9610.2022.01.012
许克东a, 马振华a, 曹芳b, 仵正a(
)
收稿日期:2021-11-29
出版日期:2022-01-25
发布日期:2022-03-17
通讯作者:
仵正
E-mail:woozheng@xjtu.edu.cn
XU Kedonga, MA Zhenhuaa, CAO Fangb, WU Zhenga()
Received:2021-11-29
Online:2022-01-25
Published:2022-03-17
中图分类号:
许克东, 马振华, 曹芳, 仵正. 重症急性胰腺炎腹腔不同分区局部并发症的微创治疗[J]. 外科理论与实践, 2022, 27(01): 46-51.
XU Kedong, MA Zhenhua, CAO Fang, WU Zheng. Minimally invasive treatment for local complications of patients with severe acute pancreatitis in different abdominal partitions[J]. Journal of Surgery Concepts & Practice, 2022, 27(01): 46-51.
图1
腹腔分区 注：胰腺炎局部并发症主要在肾周间隙及小网膜囊内播散（A）;根据播散范围分为左侧区（B）、右侧区（C）、中央区（D）,灰色所示区域为腹腔内分区示意图。
图2
中央区感染CT检查图像 冠状位、矢状位及横断面分别展示中央区感染区域,白实线箭头所示为感染区域,白虚线箭头为微创治疗路径。A：中央区范围内未向两侧流注,常规路径难以到达;B：既往PCD可行分次窦道扩张后行VAD;C：前入路需避免胃、结肠等副损伤。
图3
左、右侧区及双侧区感染CT检查图像 A：右侧区;B：左侧区;C：两侧区;白实线箭头所示为感染区域,白虚线箭头所示为微创治疗路径。
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