摘要
目的探讨重症急性胰腺炎（SAP）外科手术的时机与指征。方法回顾分析1996-01~2009-02间,我院收治的186例SAP病例。其中,非手术治疗114例（61.3%）,外科治疗72例（38.7%）。结果总治愈率81.2%（151/186）,总并发症发生率44.6%（83/186）,总病死率18.8%（35/186）;治愈率：非手术组为84.2%（96/114）,外科手术组为76.4%（55/72）;并发症发生率：非手术组为39.5%（45/114）,外科手术组为52.8%（38/72）;病死率：非手术组为15.8%（18/114）,外科手术组为23.6%（17/72）。结论及时、正确地把握SAP手术的适应证及手术时机,对提高SAP治疗的疗效,降低病死率具有重要的临床意义。
Objective To investigate the timing, indication of surgical intervention for severe acute pancreatitis （SAP）. Methods The clinical data of 186 patients with SAP from Januray 1996 to February 2009 were retrospectively analyzed. 114 cases （61.3 % ） received non - operative treatment and 72 cases （38.7 % ） received surgical operation. Results In this group, overall incidence of curative rate, over all complication and overall mortality were 81.2% （151/186）, 44.6 % （83/186） and 18.8 % （35/186）, respectively. The curative rates in non - operative group and in surgical intervention group were 84.2% （96/114） and 76.4% （55/72）, respectively. The incidences of complication in non - operative group and in surgical intervention group were 39.5% （45/114） and 52.8% （38/72）, respectively. The mortality in no n- operative group and in surgical intervention group were 15.8% （18/114） and 23.6（17/72）, respectively. Conclusion Appropriate choice of the timing, indication and of surgical operation is vital to enhance curative effect and reduce the mortality of SAP.
出处
《黑龙江医学》
2009年第10期741-744,共4页
Heilongjiang Medical Journal
关键词
重症急性胰腺炎
手术指征
Severe acute pancreatitis
Indication for surgical intervention
