53例重症胆源性梗阻型胰腺炎早期手术治疗临床分析

Severe Biliary Obstructive Pancreatitis Surgical Treatment of 53 Cases

目的:探讨重症胆源性梗阻型胰腺炎手术时机选择。方法:回顾性分析53例重症胆源性梗阻型胰腺炎患者的临床治疗效果。结果:重症胆源性梗阻型胰腺炎早期手术并发症的发生率与延期手术比较,差异有统计学意义(P<0.05);其早期手术与延期手术病死率比较,差异有统计学意义(P<0.05)。结论:手术时机对重症胆源性梗阻型胰腺炎患者的预后有重大影响,根据患者个体情况选择适当时机进行手术治疗是减少并发症、降低病死率的关键。

Objective： To explore the severe gallstone pancreatitis surgical timing obstruction type.Methods：Retrospective analysis of 53 patients with severe gallstone pancreatitis obstruction of the type of clinical treatment effect.Results： In severe gallstone pancreatitis obstruction type early surgery the incidence of complications and extension of the operation to compare,difference was statistically significant（P0.05）.His early surgery and extension of the operative mortality compared,difference was statistically significant（P0.05）.Conclusion： Surgical timing for severe gallstone pancreatitis obstruction type the prognosis of patients is of significant impact,selecting the appropriate opportunity according to individual patients condition to carry on the surgical treatment is vital to reduce the complications and mortality.