摘要
目的分析胆源性急性胰腺炎患者普外手术治疗的最佳时机及治疗效果。方法114例胆源性急性胰腺炎患者,基于双色球分组法分为观察组与对照组,各57例。观察组进行早期腹腔镜胆囊切除术治疗,对照组进行延期腹腔镜胆囊切除术治疗。比较两组患者手术指标及并发症发生率。结果两组轻中症患者手术时间及平均住院时间均短于重症患者,术中失血量少于重症患者,差异有统计学意义(P<0.05);观察组轻中症患者平均住院时间(10.48±2.97)d短于对照组轻中症患者的(17.63±3.79)d,重症患者平均住院时间(40.01±5.98)d长于对照组重症患者的(35.12±5.77)d,差异有统计学意义(P<0.05);两组轻中症和重症患者组间手术时间和术中失血量比较,差异无统计学意义(P>0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论轻中症胆源性急性胰腺炎患者实施早期腹腔镜胆囊切除术治疗效果显著,临床需结合胆源性急性胰腺炎患者病情严重程度合理选择手术时机,轻中症患者尽可能早期进行手术,减轻医疗负担,重症患者则需结合患者身体情况,科学选择手术时机进行治疗。
Objective To analyze the analyze the best timing and therapeutic effect of general surgery in patients with biliary acute pancreatitis.Methods A total of 114 patients with biliary acute pancreatitis were divided into observation group and control group according to two-color ball grouping method,with 57 cases in each group.The observation group was treated with early laparoscopic cholecystectomy,and the control group was treated with delayed laparoscopic cholecystectomy.The surgical indicators and occurrence of complications were compared between the two groups.Results In the two groups,the operation time and hospitalization time of mild to moderate patients were shorter than those of severe patients,and the intraoperative blood loss was less than that of severe patients.All the difference was statistically significant(P<0.05).The hospitalization time(10.48±2.97)d of mild to moderate patients of the observation group was shorter than(17.63±3.79)d of mild to moderate patients of the control group,and the hospitalization time(40.01±5.98)was longer than(35.12±5.77)d of mild to moderate patients of the control group.All the difference was statistically significant(P<0.05).There was no statistically significant difference in operation time and intraoperative blood loss among mild,moderate and severe patients of the two groups(P>0.05).There was no statistically significant difference in incidence of complications between the two groups(P>0.05).Conclusion Early laparoscopic cholecystectomy has remarkable effect on patients with mild to moderate biliary acute pancreatitis.Clinically,it is necessary to rationally choose the timing of surgery based on the severity of patients with biliary acute pancreatitis.Patients with mild and moderate disease should undergo surgery as early as possible to reduce the medical burden.For severe patients,the timing of surgery should be selected scientifically based on the patient’s physical condition.
作者
刘汉俊
LIU Han-jun(Yingkou Hospital of Integrated Traditional Chinese and Western Medicine(Second People’s Hospital of Yingkou Economic and Technological Development Zone),Yingkou 115009,China)
出处
《中国现代药物应用》
2021年第14期50-52,共3页
Chinese Journal of Modern Drug Application
