重症急性胰腺炎手术方式改进的探讨

A comparative analysis of the improvements in the operation for severe acute pancreatitis.

目的 探讨重症急性胰腺炎 (SAP)手术方式的改进。方法 在对 SAP患者胰床引流手术进行回顾分析的基础上改进设计了侧腰部腹膜后引流术 ,并将两种手术作对比。结果 胰床引流术 31例 ,治愈 2 1例 ,死亡 1 0例 ,病死率33%。侧腰部引流术 1 0例 ,治愈 9例 ,死亡 1例 ,病死率 1 0 %。结论 侧腰部腹膜后引流术能同时引流胰腺腹面和腹膜后间隙 ,且系低位引流 ,引流效果好 ,有助于提高治愈率 ,是一种较好的手术方式。文章还强调了

Objective To approach some improvements in the operation program for severe acute pancreatitis(SAP).Methods Based on the retrospective analysis of pancreatic bed drainage for SAP patients,a retroperitoneal drainage in the lateral lumbar region was designed and performed in the Railway Central Hospital.The effects of the two kinds of drainage were compared.Results Of 31 cases treated with pancreatic bed drainage,21 cases were cured,10 cases died,the fatality rate being 33 percent.Of 10 cases treated with retroperitoneal drainage in lateral lumbar region,9 cases were cured,1 case died,the fatality rate being 10 per cent.Conclusion Draining the part of the pancreas near the peritoneum and the retropancreatic space could be achieved by retroperitoneal drainage in the lateral lumbar region.And,this kind of low position drainage had good effects and increased cure rate.The importance of combined treatment for SAP patients was also emphasized in this paper.