胆源性胰腺炎切除胆囊的时机探索.docVIP

精品论文 参考文献 胆源性胰腺炎切除胆囊的时机探索 四川省北川羌族自治县人民医院普外科；四川绵阳622750 摘要：目的 探讨胆源性胰腺炎胆囊切除的最佳时机。方法 选取我院接收的胆源性胰腺炎患者70例，根据病情分为早期手术组和延期手术组，对比分析两组的临床疗效。结果 早期手术组平均手术时间、住院时间、住院费用明显低于延期手术组，且术后临床症状改善优于延期手术组，但是，早期手术组术后并发症的发生率明显高于延期手术组，两组比较差异均具有统计学意义（P＜0.05）。两组患者在死亡率方面比较，差异无统计学意义（P＞0.05）。结论 胆源性胰腺炎胆囊切除手术时机应个体化，对于急性梗阻性胆源性胰腺炎患者，提倡早期手术。如果患者情况允许，可选择延期手术以减少并发症的发生。临床医师应从实际情况出发，选择最有利于患者的治疗方案。 Abstract: Objective To investigate the optimal timing of cholecystectomy for biliary pancreatitis. Methods 70 patients with biliary pancreatitis received in our hospital were selected and divided into groups according to the severity of the disease. The clinical effect of the two groups was compared. The results of early surgery group was significantly lower than the average operation time, hospitalization time and hospitalization costs in the delayed operation group, better than the delayed operation group, improve the clinical symptoms and postoperative early surgery group but the incidence of postoperative complications was significantly higher than that of the delayed operation group, the difference between the two groups were statistically significant (P lt; 0.05). There was no significant difference in mortality rates between the two groups (P gt; 0.05). Conclusion the timing of cholecystectomy in patients with biliary pancreatitis should be individualized, and promote early surgery for patients with acute obstructive biliary pancreatitis. If the patient is allowed, the option of delayed surgery to reduce the incidence of complications. Clinicians should proceed from the actual situation, choose the most conducive to the treatment of patients. 关键词：胆源性胰腺炎；手术时机 急性胆源性胰腺炎是临床常见的急腹症，病情危重，变化快，需要及时有效地进行治疗。而胆源性胰腺炎的治疗，最主要的任务是针对病因进行治疗，也就是针对胆石症和胆道感染进行治疗。胆囊切除术是治疗胆石症最主要的治疗措施。胆源性胰腺炎胆囊切除手术时机的选择，将在很大程度上影响患者的治疗效果。笔者对我院收治的70例胆源性胰腺炎患者进行分组治疗，旨在探讨胆源性胰腺炎行胆囊切除的处理原则和最佳时机，更好地为临床工作提供有利依据。 1 资料与方法 1.1 一般资料 选取我院在2012年5月至2016年4月期间收治的胆源性胰腺炎患者70例作为研究对象，根据患者病情分为早期手术组（发病3~7d内手术）和延期手术组（病情稳定，2周～2个月后手术）。早期