摘要
目的探讨不同外科治疗方案、手术时间对急性胆源性胰腺炎(ABP)患者预后的影响。方法选取112例我科治疗ABP患者的临床资料,其中轻型胰腺炎73例,重型胰腺炎39例,分析不同治疗方案和手术时机对患者的治愈率和并发症的影响。结果①73例轻症患者中31例在2周~2个月内,38例在2个月后手术治疗,治愈率高,并发症少,其治愈率差异无统计学意义(P>0.05),但均显著优于4例72h^2周内手术治疗的患者(P>0.05)。超过2个月手术治疗的患者容易再次出现ABP症状。②39例重症患者中22例在72h^2周内手术治疗,4例在2周~2个月手术,治愈率均显著优于发病72h内手术治疗的13例患者(P<0.05)。结论急性胆源性胰腺炎应采用个体化治疗原则,手术方案及治疗时机是影响预后的重要因素。
Objective To investigate the influence of different therapeutic regimen and operation opportunity on the prognosis of acute biliary pancreatitis （ABP）. Methods One hundred and twelve patients with ABP were selected in this study, including 73 cases of mild ABP and 39 of severe ABP. The effect of different therapeutic regimen and operation opportunity on the cure rate and incidence of complications was analyzed. Results ① Of the 73 patients with mild ABP, 31 were treated surgically within 2 weeks to 2 months, and 38 were treated surgically after 2 months, with no statistically significant difference in cure rate, resulting in high cure rate and few complications. The cure rate was significantly lower in the 4 patients treated within 72 h to 2 weeks. The patients taken operation after 2 month were susceptible to recurrence. ② Of the 39 patients with severe ABP, 22 were treated surgically within 72 h to 2 weeks, and 4 were treated surgically within 2 weeks to 2 months, resulting in a significantly higher cure rate than the 13 patients treated surgically within 72 h. Conclusion The operation opportunity is one of the most important factors that impact the mortality of ABP. The principle of individual treatment is of great importance.
出处
《海南医学》
CAS
2013年第7期972-974,共3页
Hainan Medical Journal
关键词
急性胆源性胰腺炎
手术治疗
并发症
预后
Acute biliary pancreatitis
Operation
Complications
Prognosis
