急性胆源性胰腺炎372例早期手术与延期手术探讨

Study of early operation and delayed operation in 372 cases of acute biliary pancreatitis

目的探讨急性胆源性胰腺炎手术治疗的时机。方法对2001年1月至2011年12月收治的372例急性胆源性胰腺炎手术治疗患者资料进行回顾性分析,将372例患者分为早期手术组、延期手术组和非手术组,观察对比三组患者术后治疗效果及死亡率。结果早期手术组患者死亡率明显低于延期手术组患者(P=0.046)。结论急性胆源性胰腺炎宜早期手术治疗。

Objective To discuss the operation timing of acute biliary pancreatitis.Methods The clinical data in 372 cases of acute biliary pancreatitis treated by surgical operation in this hospital from 2001 to 2011 were retrospectively analyzed.The patients were divided into the early operation group and the delayed operation group.The curative effects and mortality rates were observed and compared between the two groups.Results The mortality rate of the early operation group was significantly lower than that of the delayed operation group（P=0.046）.Conclusion Acute biliary pancreatitis should be treated with operation as early as possible.