摘要
目的:探讨急性胆源性胰腺炎手术治疗的时机。方法:42例急性胆源性胰腺炎中,31例入院72 h内行手术治疗,其中胆囊切除6例,胆囊切除+胆总管探查+T管引流14例,胆囊切除+胆总管探查+T管引流+胰腺坏死组织清除、引流11例。非手术治疗11例。结果:非手术治疗11例中1例复发,2例死亡,1例发生并发症;手术治疗31例中,1例发生并发症,无死亡。结论:急性胆源性胰腺炎患者行早期手术治疗是安全的;积极的外科干预,有助于提高胆源性胰腺炎的疗效,减少复发。
Objective：To discuss the proper surgery time for acute biliary pancreatitis.Methods：Forty-two cases of acute biliary pancreatitis were included in the study.Among them,31 cases received operation within 72 h after admission,6 of whom underwent cholecystectomy,14 were performed cholecystectomy,common bile duct exploration（CBDE）and T tube drainage,and 11 received cholecystectomy,CBDE and T tube drainage as well as pancreatic necrosis clearance and peritoneal cavity drainage.Non-surgical therapy was performed in 11 cases.Results：Among the 11 cases receiving non-surgical therapy,1 case recurred,2 cases died and 1 case developed complications;and among the 31 cases receiving emergency operation,complications occurred in 1 case,and death was observed in no case.Conclusions：Early emergency operation can be performed safely in the majority of cases with acute biliary pancreatitis;active surgical intervention may improve the treatment effect and decrease the recurrence of pancreatitis.
出处
《蚌埠医学院学报》
CAS
2009年第10期883-884,共2页
Journal of Bengbu Medical College
关键词
胰腺炎
胰腺疾病/外科手术
胆结石
pancreatitis
pancreatic diseases/surgery
cholelithiasis
