急性重症胰腺炎手术方式的探讨  

Clinical Study on the Types of Operative Procedure in the Treatment of Severe Acute Pancreatitis

作　　者：黎宏[1] 李宁[1] 黎介寿[1] 

机构地区：[1]南京军区南京总医院普通外科研究所,210002

出　　处：《江苏医药》1997年第8期539-541,共3页Jiangsu Medical Journal

摘　　要：报道61例急性重症胰腺炎患者的治疗，总病死率29．5％。按手术方式分为三级：第一组，胰周引流术35例；第二组，封闭式网膜囊造袋术17例；第三组，控制性腹腔造口术9例。手术时机和方式采用个体化（1994年前主要采用第一种术式，近两年主要开展后两种术式）。比较三组病例的结果显示，后两级的治疗效果好于第一组。腹腔造口术适用于胰腺和腹膜后软组织坏死，并伴有感染及腹腔巨大脓肿的急性重症胰腺炎。网膜囊造袋术可作为急性胰腺炎的基本术式。61 cases of severe acute pancreatitis are reported in this paper. The total mortality rate was29. 5%. They are divided into three groups according to the types of operative procedure. The first group: 35cases underwent peripancreatic sump drainage. The second group: 17 cases received pancreatic drainage throughomental marsupialization to avoid pollution of general abdominal cavity. The third gourp: 9 cases received controlled Iaparostomy for drainage. The approach was selected individually in view of cure and lessening of risk. Incomparison, the outcome in latter 2 procedures were much better than that in the first. The selective Iaparostomyseems good for pancreatitis complicated with retroperitoneal soft tissue necrosis, infection and huge abscess. Butmarsupialization may be the basic operative type of choice for severe acute pancreatitis

关 键 词：胰腺炎 网膜囊造袋术 腹腔造口术 术式 

分 类 号：R657.510.5[医药卫生—外科学]