重症胰腺炎手术治疗的临床分析

Timing and procedure of surgical operation for severe acute pancreatitis

目的:探讨重症胰腺炎(SAP)的手术时机及方式。方法:回顾性分析49例SAP的病例资料。结果:49例SAP患者28例非手术治疗,21例手术治疗,总死亡率16.3%(8/49),总治愈率83.7%(41/49),其中非手术组治愈率82.1%(23/28),手术组治愈率85.7%(18/21)。结论:SAP应以个体化综合治疗为基础,恰当的选择手术时机与方式有助于提高疗效。

Objective：To investigate the timing and procedure of surgical operation for severe acute pancreatitis（SAP）.Methods：The clinical data of 49 patients with SAP from Jan.2002 to Jan.2008 were retrospectively analyzed.Results：Among 49 cases,28 cases received non-operative treatment and 21 cases received surgical intervention.The overall mortality and overall curative rate were 16.3%（8/ 49）,83.7%（41/49） respectively.The curative rates in non-operative and in surgical operative group were 82.1%（23/28）,85.7%（18/21） respectively.Conclusion：Based on individualized comprehensive therapy,appropriate choice of timing and procedure of surgical intervention is vital to the prognosis of SAP.