摘要
目的：探讨急性胆源性胰腺炎（AGP）的治疗方法。方法：回顾性分析我院1998年7月-2007年12月所收治的135例AGP临床资料。结果：本组轻症AGP112例行非手术治疗，待急性发作期缓解后延期手术，术前对可疑胆管梗阻者首选磁共振胰胆管造影（MRCP）检查，胆管手术首选LC；重症AGP23例采用延期手术与个体化相结合的处理原则，其中18例重症AGP伴梗阻者经积极非手术治疗无缓解者首选内镜治疗。除2例重症患者在短期内死亡外，其他病例均取得了良好的效果。结论：AGP应根据其分型选择治疗方法。
Objective：To discuss the treatment of acute gallstone pancreatitis（AGP）. Methods：135 cases of acute gallstone pancreatitis from July 1998 to December 2007 in our hospital were analyzed retrospectively. Results：Mild AGP should have delayed operation after acute period. MRCP was the best option. Laparoscopic cholecystectomy（LC） was the best option in gall duet operation. 23 severe AGP cases had delayed operations,including 18 severe cases of AGP accompanied by obstruction were treated with non-operation method and if with no results, therapeutic endoscopy was the first option. All cases made good improvement, except 2, who died shortly. Conclusion：Different types of acute zallstone nancreatitis should take different ontions.
出处
《华北国防医药》
2008年第6期22-24,共3页
Medical Journal of Beijing Military Region
关键词
胰腺炎
急性胆源性
疾病类型
临床方案
Pancreatitis, acute gallstone
Disease type
Clinical procedures
