重症急性胰腺炎外科治疗方法的探讨  

Study on the management of acute severe pancreatitis

作　　者：周栋 程远峰[2] 胡先贵[3] 

机构地区：[1]江苏常熟中医院外科,215500 [2]解放军第460医院普通外科 [3]第二军医大学长海医院普通外科,上海200433

出　　处：《第二军医大学学报》1999年第9期681-683,共3页Academic Journal of Second Military Medical University

摘　　要：目的：探讨重症急性胰腺炎（ Ｓ Ａ Ｐ）的合理治疗方法。方法：回顾近２０ 年来我科１５８ 例 Ｓ Ａ Ｐ的不同治疗方式，对比研究以早期手术治疗为主的 Ａ 组（７３ 例）和以非手术综合治疗为主的 Ｂ组（８５ 例）的并发症发生率、住院天数及住院费用情况。结果： Ｂ组的并发症发生率、平均住院天数及住院费用明显低于 Ａ 组（ Ｐ＜ ０．０１）。结论： Ｓ Ａ Ｐ的综合性非手术治疗是有效方法之一。Objective: To study the rational therapeutic regimen in the treatment of severe acute pancreatitis (SAP). Methods:One hundred and fifty eight cases of SAP were admitted to our department during the past 20 years (from 1980 to 1998),comparison was made between 73 cases in group A who were treated mainly by early operation and 85 cases in group B who were treated nonoperatively in the terms of complications rate, the mean hospitalization days and the hospitalization fee. Results:The incidence of complication, the mean hospitalization days and the hospitalization fee was lower in group B than in group A ( P <0.01) . Conclusion:It is an effective methods to adopt the combined nonoperative treatment in early SAP, and surgical operation is a rational addition.

关 键 词：胰腺炎 外科手术 SAP 

分 类 号：R657.510.5[医药卫生—外科学]