摘要
目的 探讨急性胆源性胰腺炎 (AcutebiliarypancreatitisABP)的诊断和治疗方法。 方法回顾性分析我院 2 0 0 1年 1月～ 2 0 0 3年 1月收治的 5 6例ABP的临床资料。结果 轻型 :非梗阻型 1 1例经非手术治疗治愈 ;梗阻型 36例 ,其中 2 6例转为非梗阻型经非手术治疗治愈 ,1 0例转为重型行EST或开腹手术解除梗阻。重型 :梗阻型 7例 ,行ERCP +EST6例 (1例死于多器官功能衰竭 ) ,开腹手术 (胆囊切除、胆总管探查、胰腺被膜切开引流 ) 1例 ;非梗阻型 2例 ,开腹手术 1例死亡 (死于多器官功能衰竭 ) ,非手术治疗 1例。结论 区分壶腹部梗阻对ABP治疗至关重要 ,MRCP宜作为首选的检查方法。
Objective To research the diagnosis and treatment of acute biliary pancreatitis (ABP).Methods The clinical data of 56 patients with ABP treated in our hospital were retrospectively analyzed. Mild type: 11 cases of non obstruction were treated non operatively. Among the 36 cases of obstruction, 26 cases were treated non operatively and 10 cases were translated to severe type, receiving EST or operation; Severe type: Among the 7 cases of obstruction, 6 cases were treated by ERCP+EST (One case died of multiple organ failure) and one case was treated by operation. Among 2 cases of non-obstruction, one case receiving operation was died of multiple organ failure and one case was treated non operatively.Conclusion It is very important to distinguish ampullary obstruction form ABP. The first chosen detection method by which to distinguish them is MRCP.
出处
《腹部外科》
2004年第1期36-37,共2页
Journal of Abdominal Surgery
