摘要
目的在重症急性胰腺炎患者治疗中选择最恰当的时机和指征手术，以提高其治愈率，降低病死率。方法对2000年6月至2008年10月8年间收治的255例重症胰腺炎患者，分为手术组与．非手术组，手术168例，非手术87例。其中126例患者进行早期手术治疗，22例施延期手术。手术方法：早期手术选择坏死组织清除，胰被膜松解，腹腔清洗引流术，后期以假性囊肿内、外引流为主。以上两组在并发症发生率、治愈率、病死率、住院时间、总花费等方面进行对比分析。结果两组在治愈率、住院时间上无显著性差异（P〉0．05），而两组在病死率、并发症发生率、总药费等方面，有显著性差异（P〈0．05）。手术组早期手术与延期手术在治愈率、病死率上有显著性差异（P〈0．05）。结论把握外科手术干预的时机与指征，选择正确的外科干预方式，同时配合综合治疗方案，对提高重症胰腺炎患者的治愈率，降低病死率、降低总费用，有重要意义。
Objective Deter mine the timing and indications of surgery for patients with severe acute pancreatitis. Methods To improve the recovery rate and cut down the mortality Methods From Jan. 2000 to Oct. 2008,255 cases of severe acute pancreatitis（SAP） were admitted. Among them were divided operation group and nonoperating group, 168 cases were operated and 87cases were not. 126cases given early operation and 22 cases＇ operation to be delayed. Operation type ： Necrotic tissue remove early, pancreas velamen brisement, to clean the abdominal and drainage, To endo - erternal drainage pseudocyst later. Contrastive analysis complication rate, recovery rate, death rate, length of stay, total spend. Results There are no significant difference in recovery rate and length of stay in two group （ P 〉 0.05 ） ; but in death rate and complication rate and assemble drug spend, there are difference （ P 〈0. 05 ）. Early operation and deferment operation have the same result （ P 〈 0.05 ）. Conclusions It＇s significance to grasp sugery interfere in opportunity and indication, choose correct surgery interfere style and matching with combined modality therapy to improve the recovery rate and lower death rate and the total expensive in SAP patients.
出处
《中外医学研究》
2009年第10期9-11,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
