摘要
目的探讨手术治疗胆源性胰腺炎的治疗效果及可行性分析。方法收集2008年1月至2012年5月本院收治的胆源性胰腺炎患者130例,随机将其分为手术组和对照组,每组各65例,两组患者均采取维持水电平衡、胃肠减压、禁食、控制感染、控制胰腺分泌、抗休克等综合治疗,治疗组另行胆囊切除、腹腔引流、T型管引流、胰周和小网膜腔双套管引流术及坏死胰腺组织清除术等手术治疗,对比两组的治疗效果。结果手术组术后胰腺假性囊肿率3.08%,腹腔残余脓肿率4.62%,病死率0%,均明显低于对照组12.31%、15.38%、6.15%,结果具有统计学意义(P<0.05),手术治疗效果明显优于非手术治疗。结论胆源性胰腺炎手术治疗效果明显,但在手术的时机把握和术式选择上要视患者具体情况而定。
Objective Explore the therapeutic effect of the surgical treatment of gaUstone pancreatitis and feasibility analysis. Method Collected 130 cases of gallstone pancreatifis patients admitted to our hospital from January 2008 to May 2012, were randomly divided into operation group and the control group, n = 65 eases each, the two groups of patients were taken to maintain water balance, stomachintestinal decompression, fasting, infection control, control of pancreatic secretion, anti-shock treatment, the treatment group prior cholecystectomy, abdominal drainage T-tube drainage of peripancreatic and omental cavity dual tube drainage and xaecrotie pancreatic tissuedissection, surgical treatment, the therapeutic effect of the two groups were compared. Result After surgery group of pancreatic pseudocysts rate 3.08% abdominal abscess rate 4.62% 0% mortality was significantly lower than the control group, 12.31%, 15.38%, 6.15%, and the results were statistically significant （P〈0.05）, surgical treatmentsignifieantly better than non-surgical treatment. Conclusion The effect of surgical treatment of gallstone pancreatitis, but depending on the Timing of surgery and surgical patients with specific circumstances.
出处
《中国医药指南》
2013年第10期432-433,共2页
Guide of China Medicine
关键词
胆源性
胰腺炎
胰腺梗阻
Biliary
Pancreatitis
Pancreatie obstruction
