介入治療在胰腺疾病中的應用-介入治療在胰腺疾病中的應用

, Abstract With the development of puncturing technique and Imageology, the methods of interventional treatment for the pancreatic diseases have gradually increased and the effect is also remarkable day by day. It not only with small trauma, simple, safe, effective and less complications but also significantly reduce the length of hospitalization. Thesse are the characteristics of interventional treatment. In this review we will introduce the progress of the interventional therapy from pancreatitis, pancreatic carcinoma and pancreas postoperative bleeding and so on. Keywords interventional treatment; pancreatitis pancreatic carcinoma; pancreas; postoperative bleeding 1 1.1 acute pancreatitisAP35 (severe acute pancreatitis,SAP)acute necrotizing pancreatitis,ANPsystemic inflammatory response syndrome,SIRSmultiple organ failure,MOF laparoscopic pretoneal lavage and drainage,LPLD1LPLD endoscopic retrograde cholangio-pancreatography,ERCP endoscopic sphincterotomy,EST Shelat 2834 ERCP EST 3ERCP EST EST4 continuous regional artery infusion,CRAI5CRAI pancreatic pseudocyst,PPC CT 6 1.3 pancreatic abscess7 2 pancreatic carcinoma, regional artery infusion,RAIMitsutsuji 8 photodynamic therapy,PDT11630nm 12 3 pancreato duodenectomy,PDT13 4 2 Shelat VG, Diddapur RK. Minimally invasive retroperitoneal pancreatic necrosectomy in necrotizing pancreatitis. Singapore Med J, 2007, 34(4): 399-404. 3 ,.EST .,1999, 11():70-71. 5 Raczynski S, Teich N, Borte G, et al. Percutaneous transgastric irrigation drainage in combination with endoscopic necrosectomy in necrotizing pancreatitis(with videos). Gastrointest Endose, 2006, 64(3): 420-424. 7 Giovannini M, Pesenti C, Rolland AL, et al. Endoscopic ultrasound-guided drainage of pancreatic pseudocysts or pancreatic abscesses using a therapeutic echo endoscopeJ. Endoscopy, 2001, 33(6) 473-477. 8 Papachristou E, Link KH, Schoenberg MH. Regional celiac artery infusion in the adjuvant treatment of pancreaticcancerJ. Anticancer Res, 2003, 23(2A): 831-834. 9 Sun S, Xu H, X in J, et al. Endoscopic ultrasound-guided interstitial brachytherapy of unresectable pancreatic cancer results of pilot trialJ. Endoscope, 2006, 38(4): 399-403. 11 Bowns G, Rogowskaa Z, Whitelaw DE, et a