Objective: To investigate the operative timing and indi-cations for severe acute pancreatitis(SAP).Methods: Data collected from 172 patients with SAPtreated in our hospital since 1980 were analyzed retro-spectively.Re...Objective: To investigate the operative timing and indi-cations for severe acute pancreatitis(SAP).Methods: Data collected from 172 patients with SAPtreated in our hospital since 1980 were analyzed retro-spectively.Results: In the 94 patients who had undergone early op-eration before June 1992, 57 (62.8%) healed, 35 (37.2%)died, and 16 (17.0%) had no postoperative compli-cations. In the 78 patients who had been treated after July1992 according to the principle of individualization, 66(84.6%) healed, 12 (15.4%) died, and 37 (47.4%)had no postoperative complications. In the 78 patients32 received non-operative treatment but 30 (93.8%)cured, 12 early operation but 7(58.3%)cured, 18 lateoperation but 13 (72.2%) cured, and 16 selected timeoperation but all cured.Conclusions: It is concluded that individualized thera-py is effective and reasonable for treating SAP. Theindications for early, late and selected time operationshould be emphasized.展开更多
文摘Objective: To investigate the operative timing and indi-cations for severe acute pancreatitis(SAP).Methods: Data collected from 172 patients with SAPtreated in our hospital since 1980 were analyzed retro-spectively.Results: In the 94 patients who had undergone early op-eration before June 1992, 57 (62.8%) healed, 35 (37.2%)died, and 16 (17.0%) had no postoperative compli-cations. In the 78 patients who had been treated after July1992 according to the principle of individualization, 66(84.6%) healed, 12 (15.4%) died, and 37 (47.4%)had no postoperative complications. In the 78 patients32 received non-operative treatment but 30 (93.8%)cured, 12 early operation but 7(58.3%)cured, 18 lateoperation but 13 (72.2%) cured, and 16 selected timeoperation but all cured.Conclusions: It is concluded that individualized thera-py is effective and reasonable for treating SAP. Theindications for early, late and selected time operationshould be emphasized.
文摘目的:比较轻型急性胆源性胰腺炎(mild acute gallstone pancreatitis,MAGP)患者不同手术时机行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)联合十二指肠镜下乳头切开术(endoscopic sphincterotomy,EST)治疗的临床效果.方法:按照不同手术时间将86例MAGP患者分为实验组(早期手术)45例和对照组(延期手术)41例,比较两组患者插管情况、术后结石残留情况、并发症发生情况、术后住院时间及治疗总费用.结果:两组患者插管成功率比较(91.11%vs95.12%),差异无统计学意义(P>0.05);实验组患者术后结石残留率显著低于对照组(6.67%v s 26.83%),差异具有统计学意义(P<0.05);两组患者术后各并发腹腔积液、呼吸窘迫综合征、应激性溃疡、出血、胰腺炎加重发生率比较(0.00%vs 2.44%、4.44%vs 2.44%、6.67%vs 2.44%、2.22%vs0.00%、6.67%vs 2.44%),差异无统计学意义(P>0.05).实验组患者术后住院时间及治疗总费用均显著低于对照组(6.27 d±1.56 d vs 13.85 d±1.75 d)、(6720.55元±452.38元v s 9527.82元±711.06元),差异具有统计学意义(P<0.05).结论:早期手术能够有效提高MAGP结石清除率,减少术后住院时间及住院费用,不会增加术后并发症发生率,较延期手术更具临床优势.
