外科治疗急性胆源性胰腺炎的临床效果分析

Clinical analysis of surgical treatment on acute gallstone pancreatitis

目的研究不同手术方式治疗急性胆源性胰腺炎的临床疗效。方法回顾性分析医院近年收治的急性胆源性胰腺炎患者160例,根据治疗方法分为内镜组和开腹组各80例,比较疗效。结果内镜组总治愈率为97.5%,与开腹组的90.0%比较,差异无统计学意义(P>0.05);内镜组不良反应率、总死亡率低于开腹组,差异有统计学意义(P<0.05);内镜组平均血淀粉酶恢复时间(5.62±2.31)d、平均腹痛缓解时间(3.68±1.97)d、平均住院时间(13.54±3.67)d均显著低于开腹组,差异有统计学意义(P<0.05)。结论内镜手术治疗急性胆源性胰腺炎的不良反应率及死亡率显著小于开腹手术,且患者住院时间较短,患者临床恢复较快,值得重视。

Objective To study the clinical efficacy of different surgical treatment of acute biliary pancreatitis （ABP）.Methods 160 patients of ABP in our hospital in recent years were selected and analyzed retrospectively,all patients were divided into endoscopic group and laparotomy group,with 80 cases in each group,compared the clinical efficacy.Results The total cure rate of the endoscopic group was 97.5%,and the laparotomy group was 90.0%,the difference was not significant （P 0.05）;the total adverse reaction rate and total mortality were significantly lower than laparotomy group （P 0.05）;the average serum amylase recovery time,abdominal pain remission time,hospitalization timewere significantly lower than laparotomy group（P 0.05）.Conclusion Adverse reactions and death rates of endoscopic surgery in ABP was significantly less than laparotomy,and patients with a shorter hospital stay,rapid clinical recovery,so it is worthy of attention.