胆源性胰腺炎手术时机的探讨

Discussion on the operative opportunity for gallstone pancreatitis

目的:探讨胆源性胰腺炎(GP)的最佳手术时机。方法:回顾性分析86例GP的临床资料,采用统计学方法进行分析总结。结果:早期手术组(38例)和延期手术组(48例)并发症发生率分别为28.9%和6.3%(P<0.01);死亡率分别为7.9%和0(P<0.05);胆总管探查率分别为92.1%和52.1%(P<0.01)。早期手术组的并发症发生率、死亡率及胆总管探查率均明显高于延期手术组。结论:GP应采用以延期手术为主,并与个体化相结合的处理原则。

Objective：To discuss the optimal opportunity of operation for gallstone pancreatitis（GP）. Methods：The clinical data in 86 patients with GP were analysed retrospectively and statistically.Results：The incidence rate of complication,the mortality and the rate of common bile duct exploration were 28.9%, 7.9% and 92.1% respectively in the early operation group （38 cases）, significantly higher than those（6.3%,0 and 52.1% respectively） in the delayed operation group（48 cases）（P〈0.01 ,P〈0.05 and P〈0.01 respectively）.Conclusion：It is suggested that the delayed operation is the main way for GP,and with the combination of delayed operation and individuating treatment.