剖宫产术中行腹腔镜胰腺探查引流术治疗妊娠晚期并发急性胰腺炎17例效果分析

The clinical effect of laparoscopic pancreatic exploration and drainage in the treatment of late-term pregnancy complicated with acute pancreatitis after caesarean section: a report of 17 cases

目的总结妊娠晚期并发急性胰腺炎剖宫产术中行腹腔镜胰腺探查引流术治疗的经验。方法回顾分析该院2010-03-2015-03收治17例妊娠晚期合并急性胰腺炎患者腹腔镜探查胰腺情况及灌洗引流手术治疗资料。结果 17例患者术中探查无胰腺坏死者5例恢复良好,无并发症出现,胰腺坏死患者12例,1例术后出现多器官功能不全死亡,2例出现胰漏,出现腹腔小脓肿2例,胰腺假性囊肿3例。结论腹腔镜胰腺探查引流术在妊娠晚期并发急性胰腺炎剖宫产术中同时实施治疗效果良好,适宜应用。

Objective To summarize the experience of laparoscopic pancreatic exploration and drainage in late-term pregnancy complicated with acute pancreatitis after caesarean section. Methods The clinical data of 17 cases with late-term pregnancy complicated with acute pancreatitis from March 2010 to March 2015 in our hospital were retrospectively analyzed. Results Of 17 cases with acute pancreatitis,5 cases had edema pancreatitis and recovered well; 12 cases had pancreatic necrosis in which 1 case died of multiple organ dysfunction,2 cases had small abscess,3 cases had pancreatic pseudo cyst. Conclusion Laparoscopic pancreatic exploration and drainage is effective and suitable for the treatment of acute pancreatitis in late-term pregnancy after caesarean section.