重症急性胰腺炎68例治疗结果分析

Analysis of the results of the treatment of severe acute pancreatitis --A report of 68 cases

目的探讨重症急性胰腺炎（SAP）手术时机与预后的关系。 方法对我院1998-01／2005—12收治的68例SAP病人的手术时机选择与并发症发生率、病死率和再手术率进行回顾性分析。 结果早期手术组、延期手术组和非手术组的并发症发生率分别为73．3％、33．3％和26．0％，早期手术组较后两组差异有显著意义（P〈0．05）；病死率分别为33．3％、13．3％和13．0％，早期手术组明显高于后两组（P〈0，05）；早期手术组再手术率为46．6％，而延期手术组仅为16．6％（P〈0。01）。 结论 SAP应避免在急性期手术，而应尽量采用非手术或延期手术治疗。

Aim To explore the relationship between the opportunity of operation and the prognosis. Methods The opportunity of operation, the rate of complication occurrence, the death rate and the rate of re-operation of the 68 cases with SAP admitted to our hospital from January 1998 to December 2005 were retrospectively analyzed. Results The occurrence rate of complication in the early operation group, delaying operation group and non-operation group was respectively 73.3%, 33.3% and 26.0%. There was a significantly difference between the early operation group and the other two groups （P 〈 0.05） .The death rate was respectively 33.3%, 13.3%, 13.0%, which was significantly higher in the early operation group than that in the other two groups （P 〈 0. 05 ） . The re-operation rate in the early operation group was 46.69% , while 16.6% in the delaying group （P 〈0. 01） . Conclusion As for SAP, the operation in the acute period shall be avoided, and the non-operation or delaying operation shall be taken.