摘要
目的:探讨急性胆源性胰腺炎(ABP)的诊断和外科治疗原则。方法:对我院2004年7月—2009年6月收治的112例ABP患者的资料进行回顾性分析。结果:本组患者全部治愈。LC无中转开腹,其中延期和择期手术的患者,选择性使用内镜介入治疗,效果优于单纯保守治疗。结论:胆管梗阻引起胰液排出障碍是ABP发病的重要原因,及时解除胆管梗阻是治疗的关键。保守治疗联合以微创为主的外科治疗是简单有效的方法。
Objective： To evaluate the effect of current diagnosis and surgical treatments for acute biliary pancreatitis（ABP）.Methods： Different individual treatments for 112 acute biliary pancreatitis（ABP） patients from July 2004 to June 2009 were analyzed retrospectively.Results： All the patients were cured and no patient carried on laparoscopic cholecystectomy was conversed to open cholecystectomy.For patients who could not be operated immediately,endoscopic retrograde cholangio–pancreato graphy with or without endoscopic sphincterotomy（ERCP＋/-EST） resulted in a significantly better effect over conservative management.Conclusions： Opportunely relieving biliary tract obstruction is the key factor in treatment of acute biliary pancreatitis.Combined in-time surgery interventions,mainly minimally invasive surgery,with conservative management is a simple and safe effective treatment.
出处
《中国现代普通外科进展》
CAS
2010年第10期796-798,共3页
Chinese Journal of Current Advances in General Surgery
关键词
急性胆源性胰腺炎
个体化
外科手术
微创性
诊断
Acute biliary pancreatitis·Individual·Surgical procedures
minimally invasive·Diagnosis
