胆源性胰腺炎的临床特点及早期手术治疗分析

The Clinical Features of Gallstone Pancreatitis and Early Surgical Treatment Analysis

目的探讨胆源性胰腺炎的临床特点及早期手术治疗效果。方法本次研究选择的观察组对象共50例,均为我院2010年9月至2012年10月收治的胆源性胰腺炎患者,分析其临床特点,并制定及实施早期手术方案,与同期收治的择期手术的同类型患者50例(对照组)进行比较。结果观察组患者术后均治愈出院,无临床死亡病例发生,术后切口感染1例,平均住院时间为(12.8±2.7)d,对照组患者术后均治愈出院,无死亡病例,术后发生粘连发不全肠梗阻4例,平均住院时间为(28.9±2.5)。两组并发症发生率比较及平均住院时间比较差异有统计学意义,观察组均少于对照组(P<0.05)。两组CT复查均无胰腺出血坏死。结论胆源性胰腺炎患者处理的关键在于诊断有无胆道梗阻存在,保守治疗易复发,再次手术加重患者痛苦,择期手术易使病程延长,加大了并发症的发生概率,而在早期明确诊断后积极开展手术治疗,可缩短病程,降低意外事件发生率,极大的改善了患者生活质量。

Objective To investigate the clinical characteristics and early surgical treatment of gallstone pancreatitis. Method A total of 50 cases, the study selected observation group object analysis of the clinical characteristics of patients with gallstone pancreatitis are admitted to our hospital from September 2010 to October 2012, and the development and implementation of early surgery program, and same type of elective surgery patients were treated in the same period 50 patients （the control group） were compared. Results The patients were cured and discharged from hospital deaths occur without clinical postoperative incision infection cases, the average length of stay （12.8±2.7）days in the control group patients were cured and discharged and no deaths after The occurrence of adhesion fat incomplete intestinal obstruction in 4 cases, the average length of stay（28.9±2.5）. The complication rate of the two groups and the average hospitalization time difference was statistically significant, the observation group than the control group（P〈0.05）. Two sets of CT scans were not pancreatic hemorrhage and necrosis. Conclusion The key to the treatment of gallstone pancreatitis patients is that the diagnosis of the presence or absence of biliary obstruction exists, conservative treatment is easy to relapse,reoperation aggravate the suffering of patients, elective surgery is easy to make the extension of the course,to increase the probability of the occurrence of complications, and clear in the early active in the surgical treatment after diagnosis, can shorten the course,reduce the incidence of accidents, greatly improve the quality of life of patients.