胆源性重症急性胰腺炎早期与延期手术的比较

EARLY STAGE OPERATION COMPARED WITH LATE STAGE OPERATION FOR BILIOGENIC SEVERE ACUTE PANCREATITIS

目的探讨胆源性重症急性胰腺炎(BSAP)早期手术与延期手术的临床价值。方法对我院BSAP早期手术31例(A组)与延期手术26例(B组)的临床资料进行回顾比较,数据用统计学处理。结果A组与B组的手术死亡率和再手术率差异无明显意义;A组总的术后严重并发症明显低于B组(P<0.05);A组手术时间和住院时间明显短于B组(P<0.05)。结论对BSAP以采用早期手术为宜。

Objective To evaluate the clinical values of early stage operation and late stage operation for biliogenic severe acute pancreatitis（BSAP）. Methods Clinical data of 31 patients with BSAP undergoing early stage operation （group A） were retrospectively compared with that of 26 patients with BSAP undergoing late stage operation （group B）in our hospital from January 1998 to January 2004. All of data was statistically analysed. Results The operative mortality and reoperation rate were no different between group A and group B （ 7. 6% vs 11.5 %, 9. 7% vs 15.4% , P 〉 0. 05 ）. The overall serious postoperative complications （ ARDS, renalfailure,septicemia,pulmonary infection and pancreatic fistula） in group A were significantly lower than those of group B（ 16. 1% vs 42. 3% ,P 〈0. 05）. The operative time and hospitalized days in group A were significantly shorter than those of group B（90 ＋5 min vs 125 ± 12 min,45 ± 3 d vs 65 ± 6 d,P 〈 0. 05）. Conclusions Early stage operation is suitable for BSAP.