开腹手术与腹腔镜联合十二指肠镜手术治疗急性胆源性胰腺炎临床效果比较  

Comparative analysis of clinical effect of open surgery and laparoscopy combined with duodenoscopy surgery in the treatment of patients with acute biliary pancreatitis

作　　者：冯淞 

机构地区：[1]信阳市中心医院,河南信阳464000

出　　处：《包头医学院学报》2017年第3期60-61,共2页Journal of Baotou Medical College

摘　　要：目的:探讨开腹手术与腹腔镜联合十二指肠镜手术治疗急性胆源性胰腺炎临床效果。方法:选取176例急性胆源性胰腺炎患者,随机分为观察组与对照组各88例,观察组采用腹腔镜联合十二指肠镜进行治疗,对照组采用开腹手术进行治疗。结果:观察组术中出血量[(86.3±13.4)mL]少于对照组术中出血量[(143.7±13.0)mL](t=8.13,P<0.05),两组患者的体温恢复时间、住院时间、腹痛恢复时间、淀粉酶恢复时间、腹腔引流量比较差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组(P<0.05)。结论:腹腔镜联合十二指肠镜手术治疗急性胆源性胰腺炎临床效果优于开腹手术。Objective：To discuss the clinical effect of open surgery and laparoscopy combined with duodenoscopy surgery in the treatment of patients with acute biliary pancreatitis. Methods： 176 cases of acute biliary pancreatitis were selected and randomly divided into the research group and the control group, 88 cases in each group. The research group received laparoscopy combined with duodenoscopy surgery, and the control group received open operation. The operation time, intraoperative blood loss, hospital stay, complications and so on of the two groups were compared. Results ： Intraoperative blood loss of the research group [ （ 86.3 ±13.4 ） mL ] was significantly less than that [ （ 143.7± 13.0 ） mL] of the control group （ t = 8.13, P 〈 0.05）. There was significant difference in patients＇body temperature recovery time, hospital stay, recovery time of abdominal pain and amylase, and abdominal cavity flow between the two groups （ P 〈 0.05 ）. The incidence of adverse reaction of the research group was lower than that of the control group （ P 〈 0.05 ）. Conclusion ： laparoscopy combined with duodenoscopy surgery in the treatment of patients with acute biliary panereatitis is superior to open surgery in clinical effect.

关 键 词：急性胆源性胰腺炎 开腹手术 十二指肠镜术 腹腔镜 

分 类 号：R657.41[医药卫生—外科学]