急性胆源性胰腺炎早期手术治疗的临床体会  

Clinical experience of early surgical treatment to acute biliary pancreatitis

作　　者：胡文江[1] 王燕鹏[1] 刘军[2] 

机构地区：[1]首都医科大学全科医学与继续教育学院北京市延庆县医院普外科,北京102100 [2]首都医科大学附属北京友谊医院普外科,北京100050

出　　处：《国际外科学杂志》2015年第6期379-382,共4页International Journal of Surgery

摘　　要：目的 探讨急性胆源性胰腺炎手术治疗的时机和方法.方法 回顾性分析北京市延庆县医院普外科2008年6月-2014年10月诊治的85例急性胆源性胰腺炎患者的临床资料.结果 85例患者发病1周内急诊手术治疗,62例完成腹腔镜下胆囊切除术经胆囊管胆道探查术,余行腹腔镜下或开腹胆囊切除术及或胆总管切开胆道探查术.54例发现胆管结石并取石.所有患者术后无感染、胆瘘、出血、胆道损伤,无乳头瘢痕狭窄.术后3个月随访无胆道残余结石和胰腺炎复发.结论 急性胆源性胰腺炎早期手术治疗是必要、安全和可行的.积极地胆道探查可避免胆管残余结石.Objective To investigate the opportunity and methods of acute biliary pancreatitis.Methods A retrospective review was performed in 85 consecutive patients from June 2008 to October 2014 with acute biliary pancreatitis in Beijing Yanqing County Hospital.Results Eighty-five patients were performed operation.Sisty-two patients underwent laparoscopic cholecystectomy and laparoscopic transcystic common bile duct exploration.Fifyfourcases were found biliary calculi and take away the stones.All patients were no complications such as infection,bile leakage,hemorrhage,bile duct injury,cicatrical stenosis of papilla.After three months of follow-up without biliary residual bile stones and recurrent pancreatitis.Conclusions The early surgical treatment for no severe acute biliary pancreatitis is necessary,safe and feasible.Actively biliary tract exploration can avoid bile duct residual stones.

关 键 词：胰腺炎 腹腔镜 胆囊切除术 胆总管探查术 

分 类 号：R657.51[医药卫生—外科学]