摘要
目的探讨急性坏死型胰腺炎（ＡＮＰ）的手术方法与手术时机．方法本组ＡＮＰ２８例以入院顺序分配为早期手术多口切开多管引流缝合组（引流组）与晚期手术病灶清除伤口敞开组（敞开组），每组均１４例，进行比较研究．结果早期胰腺引流组治愈１０例（７１４％），死亡４例（２８６％）．晚期手术胰腺坏死切除敞开引流组，全部治愈为１００％，两组治愈率有高度显著差异性（Ｐ＜００１）．结论急性坏死性胰腺炎不同病期采用不同手术可提高疗效．
AIM To investigate the operative timing and procedures in acute necrotic pancreatitis. METHODS According to the orders of admission, all patients with acute necrotic pancreatitis ( n =28) were randomly dividied into two groups (each group 14 cases). Early operation with drainage and suture (drainage n =14) and late operation with open clearance of focal lesion (open groups, n =14) were performed and compared. RESULTS Ten patients were operated on early with multi incision and multi_tube drainage, were cured (71 4%) and the others ( n =4) were dead (28 6%). While all patients ( n =14) who were operated on late with clearance of focal lesion and opened, were all cured (100 0%). CONCLUSION The cure rate of two procedures have significant difference ( P <0 01).
