急性胆源性胰腺炎胆道手术干预疗效的临床分析

Choice of operative opportunity for acute biliary pancreatitis

目的:探讨胆源性急性胰腺炎的治疗方法。方法:回顾性分析某院胆源性胰腺炎94例的临床资料。结果:轻症胰腺炎73例中,非手术治疗17例,手术治疗56例,均治愈。重症胰腺炎21例中,非手术治疗9例,治愈6例,死亡3例,死亡率为33.33%;手术治疗12例,治愈11例,死亡1例,死亡率为9.09%。重症急性胰腺炎手术治疗组的死亡率显著低于非手术治疗组(P<0.05)。结论:抉择好手术时机是治疗胆源性急性胰腺炎的重要环节。

Objective：To investigate the operative opportunity of acute biliary pancreatitis,ABP.Methods 94 cases of ABP were analyzed retrospectively.Results：Among 73 cases of mild ABP,17 cases were treated non-surgically and 56 cases surgically,and all of them were cured.Among 21cases of severe ABP,9 cases were treated non-surgically（6 cases were cured and 3 cases died with the mortality being 33.33%）;12 cases were treated surgically（11 cases were cured and 1 cases died with mortality being 9.09%）.The mortality in operative group was lower than in non-operative group in severe ABP（P0.05）.Conclusion： It is important to choose operative opportunity in the individualized treatment of ABP.