双介入微创治疗老年重症胆源性胰腺炎的效果分析  

Efficacy Analysis of Double Interventional Minimally Invasive Treatment for Elderly Patients with Severe Gallstone Pancreatitis

作　　者：郎桂玲[1] 付维利[1] 臧福波[1] 王希春[1] 惠杨 

机构地区：[1]辽宁省大连市友谊医院,辽宁大连116001

出　　处：《中国医学创新》2017年第3期135-138,共4页Medical Innovation of China

摘　　要：目的:探讨分析双介入微创方法治疗老年重症胆源性胰腺炎(severe acute biliary pancreatitis,SABP)的临床效果。方法:选取2013年1月-2015年10月收治的25例60岁以上老年重症胆源性胰腺炎患者设为治疗组,选取2010年1月-2012年12月收治的23例老年重症胆源性胰腺炎患者设为对照组。治疗组患者采用通过胆囊穿刺引流及腹腔穿刺灌洗双介入方法治疗,对照组采用单纯药物保守治疗,观察比较两组的治疗效果。结果:治疗组患者的腹部体征消失时间、体温恢复正常时间、白细胞恢复正常时间、血清淀粉酶恢复正常时间、住院时间均明显短于对照组,差异均有统计学意义(P<0.05)。治疗组治愈率为80.0%,明显高于对照组的52.2%,差异有统计学意义(P<0.05)。治疗组并发症发生率为12.0%,明显低于对照组的39.1%,差异有统计学意义(P<0.05)。治疗组死亡率为8.0%,明显低于对照组的30.4%,差异有统计学意义(P<0.05)。结论:胆囊穿刺引流及腹腔穿刺灌洗双介入方法治疗老年重症胆源性胰腺炎具有微创、简便、易行、安全等优点,效果较好,值得临床广泛推广。Objective：To analyze the clinical effect of the double interventional minimally invasive treatment for elderly people with severe acute biliary pancreatitis（SABP）.Method：25 elderly patients with SABP in our hospital from January 2013 to October 2015 were selected treatment group,23 elderly patients with SABP in our hospital from January 2010 to December 2012 were selected as control group.The treatment group was treated by gallbladder puncture drainage and abdominal puncture lavage double interventional treatment,the control group was treated by simple medicine conservative treatment,the effects of the two groups were observed and compared.Result：The abdominal symptoms and signs disappeared time,temperature recovery time,white blood cells back to normal time,serum amylase returned to normal time,length of hospital stay of the treatment group were shorter than those in control group,the differences were statistically significant（P〈0.05）.The cure rate of the treatment group was 80.0%, was significantly higher than 52.2% of the control group,the difference was statistically significant（P〈0.05）.The complication rate of the treatment group was 12.0%,which was significantly lower than 39.1% of the control group,the difference was statistically significant（P〈0.05）.The mortality rate of the treatment group was 8.0%,which was significantly lower than 30.4% of the control group,the difference was statistically significant（P〈0.05）.Conclusion：The gallbladder puncture drainage and abdominal puncture lavage double interventional treatment has advantages of minimally invasive,simple and easy,safe on treating senile severe acute biliary pancreatitis（SABP）,the effect is good,worthy of clinical promotion.

关 键 词：双介入 微创 老年 胆源性胰腺炎 

分 类 号：R657.51[医药卫生—外科学]