不同手术时期治疗重症胰腺炎的疗效对比及安全性评价  

Efficacy comparison and safety evaluation of different surgical times in treatment of severe pancreatitis

作　　者：李凤臣[1] 

机构地区：[1]新乡市中心医院普外科,河南新乡453000

出　　处：《医药论坛杂志》2011年第5期56-57,共2页Journal of Medical Forum

摘　　要：目的探讨不同手术时期治疗重症胰腺炎的疗效对比及安全性评价。方法依据手术时间分为：手术时间〈72h 10例,手术时间73~168h 12例,手术时间〉168h 20例。观察各时间段手术的重症胰腺炎患者的治愈率、病死率、并发症发生率并进行比较。结果73~168h组与〉168h组比较观察内容P〈0.05有显著差异性。〈72h组与73~168h组、〉168h组比较观察内容P〈0.01有显著差异性。结论手术时间是影响手术病死率的重要因素,手术时间越靠前安全性越差,手术时间与病情的严重程度和自然病程阶段有着紧密的相关性。对重症胰腺炎患者应积极纠正改善全身情况,再进行手术治疗可以增加手术的临床效果,提高手术的安全性。Objective To study the surgical treatment of severe pancreatitis during the comparison and safety evaluation.Methods The operative time was divided into operation time 72h 10 cases and operation time 73~168h 12 cases,the operation time 168h 20 cases.Observe the surgery the cure rate in patients with severe pancreatitis,mortality,complication rate and compare.Results 73~168h group and 168h group observed the contents significant difference（P0.05）.72h group and 73~168h group, 168h group observed the contents of significant difference（P0.01）. Conclusions The operative time was an important factor affecting the surgical mortality rate,operation time early the more the worse the security,the operation time and the severity of the disease and the natural course of disease is closely related phases.Patients with severe pancreatitis should be actively corrected to improve the general condition,further surgical treatment can increase the clinical effect of surgery to improve surgical safety.

关 键 词：不同手术时期 重症胰腺炎 疗效对比 安全性评价 

分 类 号：R657.51[医药卫生—外科学]