重症急性胆源性胰腺炎外科治疗时机的探讨

Clinical study on the operation opportunity of severe acute biliary pancreatitis

目的对重症急性胆源性胰腺炎的外科治疗时机的选择进行探讨,并对其疗效进行分析,提高重症急性胆源性胰腺炎的临床治愈率。方法回顾性分析2002年1月至2013年5月本院收治的29例重症急性胆源性胰腺炎患者的临床资料。结果 25例行择期手术患者痊愈出院,4例行急诊手术患者中有1例死亡,余3例痊愈出院。结论重症急性胆源性胰腺炎外科手术治疗时机的选择应遵循个体化原则。对无胆道梗阻的患者可先行积极的非手术治疗,待临床症状好转后再行延期手术;对有胆道梗阻且出现严重并发症患者经积极的非手术治疗后症状无缓解应及时手术治疗。

Objective To investigate the operation opportunity of severe acute biliary pancreatitis（SABP） and ana-lyze the efficency,aim to improve the clinical cure rate of SABP. Method 29 cases of SABP patients,hospitalized in our hospital from January 2002 to May 2013,were analyzed retrospectively. Result 25 patients undergoing deferred operation were discharged,in other 4 cases of SABP early operation was adopted,among them 3 cases were cured and 1 case died. Conclusion The operation opportunity of SABP should be made individuality. SABP patients without bil-iary obstruction should be treated at first in conservative way and accepted the delayed operation,after clinical symp-toms improved,only those with severe complications need timely surgical treatment.