摘要
目的探讨微创技术在重症急性胰腺炎(SAP)治疗中的效果和地位。方法回顾性分析2004年4月至2005年11月和2005年11月至2007年6月两等时段内第三军医大学西南医院肝胆外科研究中心收治的113例SAP的病例资料,对其治疗情况进行比较。结果第二阶段主要应用微创技术(如腹腔穿刺、腹腔镜探查引流等)治疗SAP,病死率由第一阶段22.2%降为第二阶段5.1%,开腹手术、反复开刀次数和并发症(如假性囊肿、深部真菌感染等)发生率大为降低。结论微创技术的介入可以替代部分外科手术。
Objective To investigate the role of minimally invasive technique in the management of severe acute pancreatitis （ SAP）, Methods The clinical data of 113 cases of SAP admitted in two equivalent periods （ between April 2004 and November 2005, between November 2005 and June 2007 ） in Southwest Hospital of the Third Military Medical University were analyzed retrospectively, The therapeutic effects were compared, Results With the application of minimally in- vasive technique in the management of SAP,the mortality of SAP between November 2005 and June 2007 was 5.08%, which was obviously lower than 22. 00% between April 2004 and November 2005, Surgeries and complications（ e. g. pancreatic pseudocyst,fungous infection and so on） also decreased obviously. Conclusion To some extent, minimally invasive techniques may take the place of some surgeries in the management of SAP.
出处
《中国实用外科杂志》
CSCD
北大核心
2007年第12期984-986,共3页
Chinese Journal of Practical Surgery
关键词
重症急性胰腺炎
微创技术
severe acute pancreatitis
minimally invasive techniques
