重症急性胰腺炎外科干预的时机与方式  

Optimal timing and rational procedure of surgical interven-tion for severe acute pancreatitis

作　　者：王春友[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胰腺病研究所,武汉430022

出　　处：《中华消化外科杂志》2012年第4期309-311,共3页Chinese Journal of Digestive Surgery

基　　金：卫生部临床学科重点项目（卫规财函[2007]353）

摘　　要：重症急性胰腺炎（severe acute pancreatitis，SAP）的治疗在经历了近100年的艰苦探索，尤其经过近20多年的深入研究和临床经验积累后，临床治疗方法有了不少新的进展。如早期器官功能支持、微创介入引流、坏死组织感染综合防治以及分阶段计划性微创和延期确定性开腹坏死组织清除等，治疗效果有明显改善。SAP病死率已降至10％一30％，但仍然是当前外科急腹症中尚未满意解决的难点之。Surgical therapy of severe acute pancreatitis （SAP） has been developed through several stages. The initial active surgery was replaced by conservative treatment followed by selective surgical intervention. Surgical procedures changed from pancreatic capsule incision and pancreatectomy at the early stage to necrosectomy at the later stage. Recently, planned minimally invasive necrosectomy was used to treat SAP patients. Some patients received ultrasound or CT guided drainage initially were finally cured by definitive open neerosectomy. In recent years, more advanced management of SAP developed in multidisiplinary treatment. Therefore, comprehensive treatment of SAP including the indication of surgical intervention at early stage and the optimal timing and the rational method of surgery at the late stage of SAP was discussed.

关 键 词：重症急性胰腺炎 外科治疗 

分 类 号：R657.51[医药卫生—外科学]