摘要
目的：对创伤性胰腺炎继发假性胰腺囊肿的手术时机进行研究.方法：将我院2013年3月～2013年12月接诊的52例创伤性胰腺炎继发假性胰腺囊肿的患者作为研究对象,随机将患者分为对照组与观察组.对照组患者入院后,等待4周后实施囊肿内引流术进行治疗;观察组患者入院后,立即实施囊肿引流术进行治疗.结果：相较于对照组,观察组患者术后并发症发生率、平均住院时间、平均医疗费用明显更低,两组对比差异显著（P〈0.05）,具有统计学意义.对照组共有6例患者在等待手术期间出现严重并发症,其中囊肿内出血2例,囊肿内感染1例,囊肿破裂3例,均接受急诊手术.结论：术前结合患者检查结果与临床症状做出明确诊断,严格遵循手术指征,尽早对患者进行假性胰腺囊肿内引流术,能有效改善预后质量,降低感染、并发症的发生风险,临床应给予高度重视.
Objective： To study the proper operation time of secondary Pancreatic pseudocyst caused by traumatic pancreatitis.Methods： 52 cases of patients with traumatic pancreatitis with secondary pseudo pancreatic cyst from March 2013 to December 2013 as theresearch objects were randomly divided into a control group and an observation group. After admission of 4 weeks, the implementation ofcyst drainage treatment was taken for patients in the control group; while patients in the observation group were given the implementationof the cyst drainage admitted to hospital immediately. Results： Compared with the control group, the postoperative complications, theaverage length of hospital stay, the average medical expense of the observation group were significantly lower with statisticalsignificance（P 〈 0.05）. In the control group, 6 patients suffered severe complications while waiting for the operation, including 2 cases ofcyst hemorrhage, 1 case of cyst infection, and 3 cases of cyst burst, all given emergency surgery. Conclusion： The combination ofpreoperative patients with test results with a clear diagnosis of clinical symptoms needs to be considered, the operation indications strictlyfollowed , pseudo pancreatic cyst drainage is performed as early as possible, which can effectively improve the quality of prognosis, reducethe risk of infection and complications with high attention.
出处
《中医临床研究》
2014年第30期96-98,共3页
Clinical Journal Of Chinese Medicine
关键词
创伤性胰腺炎
胰腺囊肿
手术时机
Traumatic pancreatitis
Pancreatic cyst
Operation time
