胆管切开解压术对于“胆管相关性”急性胰腺炎的治疗价值

目的总结胆管切开解压术对于治疗"胆管相关性"急性胰腺炎的是否可行及治疗效果。方法根据总胆红素及结合胆红素代谢异常与"胆管相关性"急性胰腺炎的关系得出判断结果 ;给予"胆管相关性"急性胰腺炎患者行胆管切开解压术和十二指肠乳头扩张成形术,充分扩张十二指肠乳头奥狄括约肌,使部分肌纤维断裂,奥狄括约肌松弛,保证术后胆胰管与消化道的通畅。结果随机选择50例确诊"胆管相关性"急性胰腺炎并自愿接受此治疗方案的患者进行手术,术后痊愈44例,占本组约88%;转为慢性胰腺炎1例占本组约4%;死亡5例,占本组约10%,治疗效果得到了提高,死亡率明显降低。结论此治疗方案对于"胆管相关性"急性胰腺炎患者存在可行性,且治疗效果佳,值得推广。

Objective decompression surgery for the treatment of ＂bile duct relevance＂ of acute pancreatitis in the feasibility and therapeutic effect.Methods based on total bilirubin and conjugated bilirubin metabolism and the ＂bile duct relevance＂ of acute pancreatitis to determine the relationship between the obtained results;give ＂bile duct relevance＂ of acute pancreatitis patients with bile duct incision decompression surgery and duodenum nipple angioplasty,full expansion of duodenal papilla sphincter of Oddi,so that part of the muscle fiber fracture,Oddi sphincter relaxation to ensure that the digestive tract after bile duct and smooth.The results confirmed 50 cases of randomly selected ＂bile duct relevance＂ of acute pancreatitis and voluntarily accept the surgical treatment of patients,postoperative recovery in 44 cases,accounting for about 88% of this group;into one cases of chronic pancreatitis accounted for about 4 in this group %;5 cases of death,accounting for about 10% of this group,treatment has improved the mortality rate decreased significantly.Conclusion The treatment options for ＂bile duct-related nature＂ there is the feasibility of patients with acute pancreatitis,and treatment good,worthy of promotion.