不同手术时期治疗重症胰腺炎的效果分析

Effectiveness Analysis of Surgical Treatment of Severe Acute Pancreatitis in Different Periods

目的探讨手术时机对重症急性胰腺炎(SAP)治疗效果的影响。方法将65例SAP患者根据治疗方法不同分为早期手术组24例和延期手术组41例。对比分析2组并发症发生率和死亡率。结果早期手术组和延期手术组并发症发生率分别为37.50%(9/24)和12.20%(5/41);死亡率分别为16.67%(4/24)和4.88%(2/41)。早期手术组和延期手术组并发症发生率、死亡率相比较,差异均有显著性(P<0.05)。结论根据SAP的自然病程,正确掌握手术时机和合理的手术方式,避免在急性期手术,尽量采用"个体化"原则的延期手术或非手术治疗。

Objective To investigate the timing of surgery for severe acute pancreatitis（SAP） treatment effect.Methods Totally 65 patients under the treatment of patients with SAP were divided into 24 cases of early operation group and 41 patients with delayed surgery group.Comparative analysis of two groups the incidence of complications and mortality.Results The early operation group and the delayed operation group complication rates were 37.50%（9/24） and 12.20%（5/41）;mortality rates were 16.67%（4/24） and 4.88%（2/41）.Early surgical group and the delayed operation group,the incidence of complications and mortality compared,the difference was significant（P0.05）.Conclusion Based on the natural course of SAP and correctly grasp the timing of operation and reasonable surgical method to avoid surgery in the acute phase,as far as possible ＂individual＂ of the principle of delayed operation or non-surgical treatment.