早期手术阶梯治疗急性胆源性胰腺炎的临床效果  

Clinical effect of early surgical stepped treatment to acute biliary pancreatitis

作　　者：黄睿[1] 贺轲[1] 向国安[1] 王汉宁[1] 萧金丰[1] 陈开运[1] 段小鹏[1] 何吉文[1] 

机构地区：[1]广东省第二人民医院普外一科,广东广州510317

出　　处：《中国当代医药》2017年第12期23-25,共3页China Modern Medicine

摘　　要：目的探讨急性胆源性胰腺炎的外科手术治疗时机。方法回顾性分析2010年1月~2016年12月本院收治的158例急性胆源性胰腺炎患者的临床资料。观察患者入院时、内镜治疗后第1天、LC术后第3天的肝功能、淀粉酶、脂肪酶、白细胞及CRP水平等,评估患者病情及术后恢复情况。结果经早期手术治疗后,术后无严重并发症发生,恢复时间明显缩短,所研究的肝功能等各指标在ERCP解除胆道梗阻后均明显下降(P<0.05)。结论早期手术阶梯治疗急性胆源性胰腺炎的临床效果显著,是一种安全、有效的治疗方法,值得临床推广应用。Objective To investigate the operation treatment opportunity of acute biliary pancreatitis （ABP）.Methods Clinical data of 158 cases with ABP hospitalized in our hospital from January 2010 to December 2016 was analyzed retrospectively.The liver function,amylase,lipase,white blood cell and CRP level and so on were observed on admission, on the first day after endoscopic treatment and the third day after LC treatment.The patient＇s disease condition and postoperative recovery were evaluated.Results After early surgical treatment,there was no serious postoperative complications occurred,the recovery time was significantly shorter.The indexes of liver function and so on were significantly decreased after ERCP was removed （P〈0.05）.Conclusion The clinical efficacy of early surgical stepped care to acute biliary is significant,and it is a safe and effective treatment method.It is worthy of clinical promotion and application.

关 键 词：急性胆源性胰腺炎 早期手术 阶梯治疗 

分 类 号：R576[医药卫生—消化系统]