摘要
目的探讨胆源性胰腺炎的临床诊断、手术时机和手术方式。方法回顾性分析118例急性胆源性胰腺炎的临床资料。结果98例非梗阻性急性胆源性胰腺炎(83%)先行非手术治疗,待急性炎症消退后2w内行胆囊切除术,均治愈;20例行急诊手术(为梗阻性胆源性胰腺炎),其中以胰腺病变为主的重症急性胰腺炎手术8例,术后均出现不同程度的腹腔感染,2例死亡。以胆道梗阻为主的病人12例,手术解除胆道梗阻,胰腺作包膜切开引流,术后全部治愈。结论急性胆源性胰腺炎在治疗上有非梗阻性和梗阻性之分,早期均以非手术治疗为主,非梗阻性非手术治疗缓解后行择期手术,梗阻性需急诊手术;对于胰腺病变一般仅作包膜切开引流即可。
Objective To explore the clinical diagnosis of biliogenic pancreatitis, surgical timing and surgical methods. Methods Retrospective analysis of 118 cases clinical data in acute biliogenic pancreatitis. Results 98 cases of non - obstructive acute biliogenic pancreatitis （ 83% ） that firstly received non - surgical treatment, until 2 weeks after the acute inflammation subsided did cholecystectomy, all were cured ; 20 cases of emergency surgery （ for obstructive biliary pancreatitis）, among them, pancreatic diseases based surgery 8 cases of severe acute pancreatitis, after surgery were appeared different degrees of intra - abdominal infection, 2 cases died. Patients mainly with biliary obstruction in 12 cases, surgical lifting of biliary obstruction, for capsular incision and drainage of pancreatic,all cured. Conclusion In the treatment of acute gallstone pancreatitis have a points of non - obstructive and obstructive, early stage should be given non- surgical therapy, Non- obstructive non- surgical treatment to alleviate then select surgery, obstructive needed emergency surgery ; For the pancreatic diseases in general can only capsular incision and drainage.
出处
《医药论坛杂志》
2010年第2期45-46,49,共3页
Journal of Medical Forum
关键词
胆源性胰腺炎
诊断
治疗
Biliogenic pancreatitis
Diagnosis
Treatment
