腹膜后入路手术在重症急性胰腺炎发生胰腺坏死并感染中的应用  

Effect of Retroperitoneal Surgery for Severe Acute Pancreatitis Occurred Pancreatic Necrosis and Infection

作　　者：赵艳飞[1] 于耀利[1] 闫斌[1] 贾志勇[1] 李小刚[1] 

机构地区：[1]包头医学院第一附属医院普外二科,内蒙古包头014010

出　　处：《中外医疗》2015年第11期58-59,共2页China & Foreign Medical Treatment

摘　　要：目的探讨重症急性胰腺炎发生胰腺坏死并感染患者行腹膜后入路手术的效果。方法随机选取该院2004年1月-2014年12月间收治的120例重症急性胰腺炎并发胰腺坏死并感染患者,按手术方案分为对照组(60例,经腹部切口入路)和观察组(60例,经腹膜后切口入路),比较两组手术相关指标及并发症情况。结果观察组手术时间、住院时间均短于对照组,并发症发生率更低,差异有统计学意义(P<0.05),两组死亡率差异无统计学意义(P>0.05)。结论腹膜后入路手术治疗重症急性胰腺炎发生胰腺坏死并感染可有效降低并发症发生率,值得推广应用。Objective To investigate the effect of Retroperitoneal surgery for severe acute pancreatitis occurred pancreatic necrosis and infection.Methods 120 cases of severe acute pancreatitis complicated with pancreatic necrosis and infection patients from January 2004 to December 2014 in our hospital, were divided into control group （60cases, abdominal incision） and observation group （60 cases, the incision retroperitoneal）, effect of the two groups were compared.Results In the observation group, operation time, hospitalization time were shorter than the control group, the incidence of complications was lower （P〈0.05）,No significant difference between the two groups in mortality（P〉0.05）.Conclusion The approach of operation in treatment of severe acute pancreatitis occurred pancreatic necrosis and infection can effectively reduce the incidence of complications of retroperitoneal, and is worthy of popularization and application.

关 键 词：腹膜后入路 重症急性胰腺炎 胰腺坏死并感染 

分 类 号：R4[医药卫生—临床医学]