梗阻型急性胆源性胰腺炎的治疗方式及手术时机的选择分析

Analysis of Treatment Options and Timing of Operation for Obstructive Acute Biliary Pancreatitis

目的探讨梗阻型急性胆源性胰腺炎的治疗方式及手术时机选择。方法入组对象为2014年1月-2017年1月100例梗阻型急性胆源性胰腺炎患者,随机将患者分为两组,50例/组,观察组、对照组分别施行早期手术、延期手术,两组患者在并发症发生率、症状缓解时间、住院时间、复发率、死亡率等方面作比较。结果观察组的并发症发生率明显低于对照组(P<0.05),其症状缓解时间及住院时间均短于对照组(P<0.05);观察组的复发率、死亡率均低于对照组,但差异无统计学意义(P>0.05)。结论梗阻型急性胆源性胰腺炎采取早期手术治疗的效果和安全性高于延期手术。

Objective To investigate the treatment and surgical timing of obstructive acute biliary pancreatitis（SAP）. Methods The subjects were 100 patients with acute obstructive biliary pancreatitis from the period January 2014 to January 2017, the patients were randomly divided into 2 groups, 50 cases in each group, the observation group and the control group were treated early surgery, delayed operation, the incidence, symptoms time, hospitalization time, relapse rate, mortality and other complications were compared between two groups. Results The incidence of complications in the observation group was significantly lower than the control group（P〈0.05）, the symptoms time and hospitalization time were shorter than the control group（P〈0.05）; the recurrence rate and mortality rate in the observation groupwere lower than the control group, but the difference was not statistically significant（P〈0.05）. Conclusion The effect and safety of early surgical treatment for obstructive acute biliary pancreatitis are higher than those of delayed operation.