胆源性急性胰腺炎手术方式及时机的选择
作者:
作者单位:

作者简介:

陈梅福

通讯作者:

中图分类号:

R 657.5

基金项目:


Selection of method and timing of operation in acute biliary pancreatitis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨胆源性急性胰腺炎的手术方式和时机选择。
    方法:回顾性分析236例胆源性胰腺炎的临床资料,对其手术方式和时机及疗效进行对比研究。
    结果:各型胆源性急性胰腺炎分别进行了早期手术和延期手术,轻症胰腺炎患者均痊愈出院;梗阻型重症胰腺炎患者早期手术无死亡,延期手术病死率14.29%(1/7),非梗阻型重症胰腺炎患者早期手术病死率7.14%(1/14),延期手术病死率14.29%(1/7),各型之间的并发症计分经统计学处理差异无显著性(P>0.05)。暴发性胰腺炎患者早期手术病死率为20.00%(1/5),另延期手术1例死亡。
    结论:对胆源性急性胰腺炎患者应在经短期(24~48 h)积极的非手术治疗后早期手术;根据病情选择手术方式,可以提高治愈率,降低病死率。

    Abstract:

    Abstract:Objective:To study the selection of method and timing of operation in the treatment of acute biliary pancreatitis(ABP)
    Methods :The clinical records of 236 cases of ABP from our hospital were reviewed and analyzed.
    Results:All types of ABP underwent early or delayed operation, respectively.Mild pancreatitis patients were cured and discharged. For severe acute pancreatitis with bile duct obstruction, early surgery had no mortalily, but delayed operation mortality was 14.29%(1/7). The mortality in patients with severe pancreatitis without bile duct obstruction who underwent early operation was 7.14%(1/14), and for those who had delayed operation was 14.29%(1/7). The complicalion score between the various groups was not statistically significant (P>0.05). The mortality rate for early operation of fulminant pancreatitis was 20.00%(1/5), and another case died after delayed operation.
    Conclusions:In cases of ABP, early operation should be performed after aggressive non-surgical treatment for 24-48 h. Selection of operative method, according to the patient′s condition, can improve cure rate and decrease mortality rate.

    参考文献
    相似文献
    引证文献
引用本文

陈梅福, 吴金术, 汪新天, 朱朝庚, 沈贤波, 王方明.胆源性急性胰腺炎手术方式及时机的选择[J].中国普通外科杂志,2008,17(9):2-847.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2008-09-25
  • 出版日期:
新投稿系统运行通知

作者投稿请直接点击左侧“作者登录”,请不要进入旧版入口。如登录或投稿中遇到任何问题,请联系电话18612186403。谢谢!

关闭