86例重症急性胰腺炎的外科治疗

Surgical management of severe acute pancreatitis in 86 cases

目的:总结重症急性胰腺炎治疗经验。方法:对 86例重症急性胰腺炎患者临床资料进行回顾性分析。非手术治疗 2 4例 ,重症 级 2 1例 , 级 3例 ;早期手术治疗 30例 ,重症 级 12例 , 级 18例 ;中转手术治疗 32例 ,重症 级 18例 , 级 14例。结果 :非手术治愈率为 87.5 % (2 1/2 4 ) ,早期手术治愈率为 76 .7% (2 3/30 ) ,中转手术治愈率为 75 .0 % (2 4 /32 ) ,手术并发症发生率为 4 6 .8% (2 9/6 2 )。结论 :重症急性胰腺炎的治疗应视具体情况采取“个体化”

Objective: To sum up therapeutic experience of severe acute pancreatitis(SAP). Methods: Clinical materials of 86 cases with SAP were reviewed retrospectively. Among the 24 cases with conservative treatment, there were 21 with grade Ⅰ(of SAP) and 3 with grade Ⅱ;12 patients with grade Ⅰ and 18 patients with grade Ⅱ underwent early surgery; in 32 cases underwent delayed surgery,there were 18 with grade Ⅰ and 14 with grade Ⅱ. Results: The cure rate of conservative treatment, early operation and delayed surgical management was 87.5%(21/24), 76.7%(23/30) and 75.0%(24/32) respectively. The complication rate of the operation was 46.8%(29/62). Conclusions: The patients suffering from SAP should be managed with 'therapy' individually.