摘要
目的探讨重症急性胰腺炎(severe acute pancreatitis,SAP)的治疗方式与预后的关系。方法收集1998年1月～2006年12月收治的97例SAP进行回顾性分析。结果早期手术组、延期手术组和非手术治疗组的并发症发生率分别为73.3%、33.3%和32.6%,病死率分别为36.7%12.5%和11.6%。早期手术组与后两组比较,并发症发生率差异有非常显著性(P<0.01),病死率差异有显著性(P<0.05)。结论SAP的治疗方式是影响预后的重要因素,应尽量避免在急性期手术,而尽量采用非手术或延期手术治疗。
Objective To evaluate the relationship between therapeutic methods and prognosis in patients with severe acute pancreatitis （SAP）. Methods 97 cases with. SAP in our hospital from January, 1998 to December, 2006 were analyzed retrospectively. Results The occurring rate of complications in early-operation group, delayed-operation group and nonoperation group was 73.5% ,35.5% and 32.6% respectively while the mortality was 56.7%,12.5% and 11.6%. Compared to other two groups, the occurring rate of complications and the mortality in early-operation group showed significant difference （P〈0.01 or P〈0.05）. Conclusions The management strategy of SAP is an important factor influencing the prognosis. Conservative treatment or delayed operation if necessary is preferable than early operation.
出处
《海南医学》
CAS
2008年第2期27-28,共2页
Hainan Medical Journal
关键词
重症急性胰腺炎
外科手术
并发症
Severe acute pancreatitis
Surgery operative
Complications
