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不同手术方式治疗急性胆源性胰腺炎的价值比较 被引量:4

Comparison of different surgical methods in the treatment of acute biliary pancreatitis
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摘要 目的对比不同手术方法治疗急性胆源性胰腺炎的价值,为急性胆源性胰腺炎的治疗提供参考。方法选择2013年8月至2015年12月我院收治的急性胆源性胰腺炎患者86例作为研究对象,根据治疗方法的不同分为观察组与对照组,各43例,两组都给予基础治疗,观察组给予经皮肾镜治疗,对照组给予常规开腹手术治疗,对比两组预后恢复及并发症发生情况。结果观察组的腹痛缓解时间、体温恢复时间和住院时间分别为(4.44±1.44)d、(6.31±2.44)d和(22.18±7.28)d,均明显短于对照组的(7.19±2.14)d、(10.99±3.14)d和(31.56±7.91)d,差异均具有统计学意义(P<0.05);观察组并发症发生率为13.95%,明显低于对照组的32.56%(P<0.05)。结论相较于传统手术,经皮肾镜治疗急性胆源性胰腺炎能促进患者的康复,减少术后并发症,有很好的应用价值。 Objective To compare the value of different surgical methods in the treatment of acute biliary pancreatitis, and to provide reference for the treatment of acute biliary pancreatitis. Methods Eighty-six cases of patients with acute biliary pancreatitis in our hospital from August 2013 to December 2015 were selected as research objects. All the patients were divided into observation group and control group according to different surgical methods, with 43 cases in each group. The patients in the two groups were given basic treatment, and then the observation group was treated by percutaneous endoscopic treatment, while the control group was given conventional open surgery. The prognosis and complications of the two groups were compared. Results The abdominal pain relief time, body temperature recovery time and hospital stay of the observation group were (4.44±1.44) d,(6.31±2.44) d and (22.18±7.28) d, which were significantly shorter than (7.19±2.14) d, (10.99±3.14) d and (31.56±7.91) d of the control group (P〈0.05). The complication rate of the observation group was 13.95%, which was obviously lower than 32.56% of the control group (P〈0.05). Conclusion Compared with the traditional surgery, percutaneous endoscopic can promote the rehabilitation of patients and reduce the incidence of postoperative complications in treatment of acute biliary pancreatitis. So it has a good application value.
作者 杨玉民
出处 《临床医学研究与实践》 2017年第2期53-54,共2页 Clinical Research and Practice
关键词 经皮肾镜 开腹手术 急性胆源性胰腺炎 并发症 percutaneous endoscopic open surgery acute biliary pancreatitis complications
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