摘要
目的总结对急性胆石性胰腺炎的诊断和治疗经验,提高对胆石性胰腺炎的诊治水平。方法回顾性分析内蒙古医学院附属人民医院近8年来收治的86例胆石性胰腺炎病人的临床资料。结果86例病人中17例急诊行手术治疗,包括胆囊切除,胆总管切开,T管引流,据胰腺病变可同时行胰包膜切开,清除胰腺坏死病灶,小网膜腔灌洗引流术,69例首先采取保守治疗,待炎症消退后早期手术治疗。结论尽早明确胆石性胰腺炎的诊断,根据胆道有无明显梗阻决定是首先采取急诊手术治疗方式、还是采取保守治疗待炎症消退后再选择适当的手术时机,和合适的手术方式,对控制疾病发展与减少并发症,提高疾病的治愈率非常重要。
[Objective]To summarize the experience of diagnosis and surgical treatment of acute gallstone pancreatitis,so as to improve the diagnosis and treatment levels.[Methods]The clinical data of 86 gallstone pancreatitis cases in Inner Mongolia Medical College Affiliated People＇s Hospital of recent 8 years were retrospectively analyzed.[Results]Emergency surgery was performed on 17 cases of 86 gallstone pancreatitis patients,including cholecystectomy,choledochotomy,T-tube drainage,and pancreatitic capsule incision based on condition of pancreatitis,removaling of pancreatic necrosis lesions,and small omental drainage cavity lavage.For other 69 cases,firstly the conservative treatment was taken firstly,then operations were performed when the inflammation was subsided.[Conclusion]A clear diagnosis of gallstone pancreatitis should be made as soon as possible,the choice of emergency surgery or conservative treatment with following appropriate surgical approach at appropriate time after the subsided inflammation is based on whether there is obvious obstruction of biliary tract or not.The appropriate treatment can control disease development and reduce complications and improve cure rates of the disease.
出处
《职业与健康》
CAS
2010年第5期592-593,共2页
Occupation and Health
关键词
胆石性胰腺炎
诊断
治疗
Gallstone pancreatitis
Diagnosis
Treatment
