手术与非手术治疗胆源性胰腺炎的对比观察  

Comparison of Surgical and Non-Surgical Treatment for Biliary Pancreatitis

作　　者：张伟塘 陈隆武 吕振发 叶绍光[2] 

机构地区：[1]饶平县人民医院普外科,广东饶平515700 [2]潮州市中心医院普外科,广东潮州521021

出　　处：《实用临床医学（江西）》2015年第1期34-35,88,共3页Practical Clinical Medicine

摘　　要：目的探讨手术与非手术两种治疗方式在胆源性胰腺炎中的临床疗效和安全性。方法 92例胆源性胰腺炎患者,依据适应证以及家属意愿分为手术组和非手术组,每组各46例。手术组患者接受手术治疗,非手术组患者采用常规综合治疗。比较2组患者的临床指标恢复情况以及并发症、死亡率。结果与非手术组相比,手术组患者体温恢复时间、腹痛恢复时间短,肝功能正常恢复时间和血尿淀粉酶降至正常时间短(均P<0.001);手术组患者术后复发率、并发症总发生率、死亡率明显低于非手术组(均P<0.05)。结论胆源性胰腺炎早期行手术治疗可以明显缩短患者病程,提高治愈率,减少并发症发生;治疗需要遵循个体化原则,明确的诊断和合适的手术时机是提高疗效的保证。Objective To explore the clinical efficacy and safety of surgical and non-surgical treatment for biliary pancreatitis.Methods According to the indications and family wishes,92 patients with biliary pancreatitis were assigned to receive either surgical treatment（surgical group,n=46）or routine comprehensive treatment（non-surgical group,n=46）.The recovery of clinical indicators,complications and mortality were compared between the two groups.Results The time to recovery of body temperature,abdominal pain,liver function and blood and urine amylase levels in surgical group was significantly shorter than that in non-surgical group（P〈0.001）.In addition,the postoperative recurrence rate,total incidence of complications and mortality rate in surgical group were significantly lower than those in non-surgical group（P〈0.05）.Conclusion Early surgery can shorten disease duration,improve cure rate and reduce complications in patients with biliary pancreatitis.Furthermore,the treatment of biliary pancreatitis should follow the principle of individualization,and definite diagnosis and appropriate surgical timing offer a guarantee to improve the curative efficacy.

关 键 词：胆源性胰腺炎 手术治疗 非手术治疗 

分 类 号：R657.51[医药卫生—外科学]