重症急性胰腺炎外科治疗的时机和方式选择

Timing and methods of surgical treatment for severe acute pancreatitis

目的:探讨不同治疗手段治疗重症急性胰腺炎的效果。方法:收治重症急性胰腺炎患者80例,随机分为对照组和试验组,对照组采用外科保守治疗,试验组采用早期外科手术干预治疗,比较两组治疗效果。结果:试验组并发症发生率、急性黄疸发生率和腹腔脓肿发生率均显著低于对照组(P<0.05)。两组死亡率差异无统计学意义(P>0.05)。结论:早期手术治疗对重症急性胰腺炎患者的效果显著。

Objective:To investigate the effect of different treatment methods in the treatment of severe acute pancreatitis.Methods:80 patients with severe acute pancreatitis were selected.They were randomly divided into the control group and the experimentalgroup.The control group was treated by conservative surgery.The experimental group was treated with early surgical intervention.We compared the treatment effect of two groups.Results:In the experimental group,the incidence of complications,incidence ofacute jaundice and incidence of abdominal abscess were significantly lower than those in the control group(P<0.05).There was nosignificant difference in mortality between the two groups(P>0.05).Conclusion:The effect of early surgical treatment on severeacute pancreatitis was significant.