后腹腔镜减压引流治疗重症急性胰腺炎的临床分析

Clinical Analysis of Retroperitoneal Laparoscopic Decompression and Drainage Treatment Severe Acute Pancreatitis

目的：探讨经腰腹膜后微创入路早期减压引流治疗重症急性胰腺炎的临床疗效。方法：我院2009年2月-2016年1月采用微创早期减压引流治疗重症急性胰腺炎23例。依据引流途径将这些患者分为研究组（12例）和对照组（11例）,对照组为经腹腔减压引流,研究组为经腹腔镜腰腹膜后减压引流,然后对两组进行比较分析。结果：研究组患者恢复时间短于对照组,且研究组患者治疗后并发症发生率和死亡率低于对照组。结论：经腰腹膜后早期减压引流治疗重症急性胰腺炎具有安全、效果好、创伤小、并发症少等优点,值得临床推广应用。

Objectives： To investigate the clinical effect of minimally invasive early decompression and drainage treatment of severe acute pancreatitis by lumbar retroperitoneal approach. Methods： From February 2009 to January 2016, 23 cases of severe acute pancreatitis were treated by minimally invasive early decompression and drainage. The patients were divided into the study group（12 cases） and the control group（11 cases） according to the way of drainage. The control group was abdominal decompression and drainage, the study group was lumbar retroperitoneal decompression and drainage, and then the two groups were compared and analyzed. Results： The recovery time of the study group was shorter than the control group. The complications and mortality of the study group were lower than those of the control group. Results： Early decompression and drainage treatment of severe acute pancreatitis by lumbar retroperitoneal approach is safe,effective, less trauma and less complications. It is worthy of clinical application.