急性胆源性胰腺炎78例临床治疗分析

Clinical Analysis of Treatment for 78 Cases with Acute Gallstone Pancreatitis

目的探讨急性胆源性胰腺炎(AGP)的治疗方法及疗效。方法AGP早期保守治疗,采用手术治疗合并急性梗阻性化脓性胆管炎(AOSC)及病程后期感染的患者。结果保守治疗有效率达84.6%(66/78);重症AGP早期手术和晚期手术的再手术率分别为33.3%(4/12)和6.3%(1/16),死亡率分别为25.0%(3/12)和6.3%(1/16)。结论AGP早期可先行保守治疗,延期手术使再次手术率和死亡率明显下降。

Objective To study the treatment and efficacy of acute gallstone pancreatitis （AGP）. Methods AGP can accept conservative treatment in early stage, surgery was applied to AGP with acute obstructive supprative cholangitis （AOSC） and infection at a late stage in the course. Results The efficacy rate of conservative treatment was 84.6% （66/78）, the proportion of reoperation for severe AGP in two periods was 33.3 % （4/12） and 6.3%（1/16） respectively, and mortality was 25.0%（3/12） and 6.3%（1/16）respectively. Conclusion Most AGP can accept conservative treatment in early stage of the disease. Delayed operation remarkably decreases the proportion of reoperation and mortality.