手术对急性出血坏死性胰腺炎患者预后的影响

Influence of surgical intervention on the prognosis of patients with acute hemorrhage necrotizing pancreatitis

目的探讨外科手术对急性出血坏死性胰腺炎患者预后的影响。方法对66例急性出血坏死性胰腺炎患者的临床资料进行回顾分析，分为手术组（50例）和保守治疗组（16例），比较两组继发感染率、治愈率、住院时间、住院总费用的差异。结果手术组患者继发感染率、治愈率、住院时间、住院总费用均显著优于保守治疗组（x^2=5．38，5．56，t=24．65，6．46，均P〈0．05）。结论积极的手术治疗可明显改善急性出血坏死性胰腺炎预后，降低医疗费用。

Objective To explore the effect of surgical intervention on the prognosis of patients with acute hemorrhage necrotizing pancreatitis. Methods The clinical data of 66 patients with acute hemorrhage necrotizing pancreatitis were analyzed retrospectively and divided into two groups：operation group （50 cases） and expectant treatment group（ 16 cases）. The secondary infection rate, hospitalized duration, hospitalization cost and healing rate were compared between the two groups. Results The secondary infection rate, hospitalized duration, hospitalization cost and healing rate of the operation group was significantly better than that of the expectant treatment group（ X2 = 5. 38, 5.56,t = 24.65,6.46, all P 〈 0.05 ）. Conclusion Surgical intervention could obviously improve the outcomes and cut down the medical cost.