Liu Ya, Wang Xiaohan, Wang Haoyu, Tian Yanzhang, Fu Xifeng
Tongji Shanxi Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Taiyuan, China.
Dig Dis Sci. 2025 Jun 11. doi: 10.1007/s10620-025-09110-y.
Acute necrotizing pancreatitis (ANP) is a relatively severe disease in clinical practice, and the selection of treatment strategies has a significant impact on the prognosis of patients. Percutaneous catheter drainage (PCD) serves as an effective treatment method and holds an important position in the treatment of ANP. With the in-depth development of medical research, the intervention strategies and management methods for ANP are constantly evolving. However, there is still controversy regarding when to adopt the step-up approach. This review aims to elaborate on the role of percutaneous catheter drainage, different drainage timings, and the evaluation of various drainage techniques, explore the current status and deficiencies of the research, with the expectation of providing more scientific and reasonable treatment decision-making basis for clinicians in dealing with ANP.
急性坏死性胰腺炎(ANP)在临床实践中是一种相对严重的疾病,治疗策略的选择对患者的预后有重大影响。经皮导管引流(PCD)是一种有效的治疗方法,在ANP的治疗中占有重要地位。随着医学研究的深入发展,ANP的干预策略和管理方法不断演变。然而,对于何时采用逐步升级的方法仍存在争议。本综述旨在阐述经皮导管引流的作用、不同的引流时机以及对各种引流技术的评估,探讨研究现状和不足,以期为临床医生处理ANP提供更科学合理的治疗决策依据。