胆源性急性胰腺炎普外手术治疗时机临床观察(1)
【摘 要】：目的：总结胆源性急性胰腺炎普外科手术治疗时机，评价不同手术时机治疗效果。方法：选择2016年4月——2018年3月我院收治的胆源性急性胰腺炎84例患者作为本次研究对象，依据患者入院时间单双数将其分为两组各42例，两组术式均为胆囊切除术，对照组患者展开延期普外手术治疗，观察组患者展开早期手术治疗，比较两组患者住院时间、术后1d引流量、急性生理与慢性健康评分(APACHE-II)以及并发症发生率与病死率。结果：①观察组住院时间明显短于对照组，术后1d引流量明显少于对照组，APACHE-II评分明显低于对照组，差异均具有统计学意义(P<0.05)；②观察组总并发症发生率(4.76%)明显低于对照组(19.05%)，差异具有统计学意义(=8.421，P<0.05)；③观察组病死率(2.38%)明显低于对照组(14.29%)，差异具有统计学意义(=7.790，P<0.05)。结论：胆源性急性胰腺炎普外手术治疗应尽量在早期进行，不仅利于缩短患者住院时间、减少引流量、改善患者症状与体征，同时可有效预防并发症，减少死亡率，提升患者生存质量，对此临床应高度重视。
【關键词】：胆源性急性胰腺炎；普外手术；延期手术；早期手术；效果
Abstract： objective： to evaluate the effect of surgical treatment of biliary acute pancreatitis. Methods： Eighty-four patients with biliary acute pancreatitis admitted in our hospital from April 2016 to March 2018 were selected as the study objects， and were divided into two groups according to the single and even number of admission time， 42 cases in each group. The two groups were treated by cholecystectomy， the patients in the control group were treated with delayed external surgery， the patients in the observation group were treated with early surgical treatment， and the hospitalization time and drainage flow were compared between the two groups at 1 day after operation. Acute physiological and chronic Health score (APACHE-II) and complications Morbidity and mortality. Results： 1the hospitalization time of the observation group was shorter than that of the control group， the drainage flow was obviously less than that of the control group on the 1st day after operation， and the APACHE-II score was significantly lower than that of the control group (P < 0. 05). 2the incidence of total complications in the observation group (4.76%) was significantly lower than that in the control group (19.05%)， and the difference was statistically significant (P < 0.05). 3The mortality of the observation group (2.38%) was significantly lower than that of the control group (14.29%) (P < 0.05). Knot Conclusion： the general surgical treatment of biliary acute pancreatitis should be carried out as early as possible， which can not only shorten the hospitalization time， reduce the drainage， improve the symptoms and signs of the patients， but also effectively prevent complications and reduce the mortality. To improve the quality of life of patients， we should attach great importance to this clinical.
Keywords： biliary acute pancreatitis； general surgery； delayed operation； early operation； effect
【中图分类号】R284.2 【文献标识码】A 【文章编号】1672-3783(2018)12-03--01, http://www.100md.com(张文斌)
【關键词】：胆源性急性胰腺炎；普外手术；延期手术；早期手术；效果
Abstract： objective： to evaluate the effect of surgical treatment of biliary acute pancreatitis. Methods： Eighty-four patients with biliary acute pancreatitis admitted in our hospital from April 2016 to March 2018 were selected as the study objects， and were divided into two groups according to the single and even number of admission time， 42 cases in each group. The two groups were treated by cholecystectomy， the patients in the control group were treated with delayed external surgery， the patients in the observation group were treated with early surgical treatment， and the hospitalization time and drainage flow were compared between the two groups at 1 day after operation. Acute physiological and chronic Health score (APACHE-II) and complications Morbidity and mortality. Results： 1the hospitalization time of the observation group was shorter than that of the control group， the drainage flow was obviously less than that of the control group on the 1st day after operation， and the APACHE-II score was significantly lower than that of the control group (P < 0. 05). 2the incidence of total complications in the observation group (4.76%) was significantly lower than that in the control group (19.05%)， and the difference was statistically significant (P < 0.05). 3The mortality of the observation group (2.38%) was significantly lower than that of the control group (14.29%) (P < 0.05). Knot Conclusion： the general surgical treatment of biliary acute pancreatitis should be carried out as early as possible， which can not only shorten the hospitalization time， reduce the drainage， improve the symptoms and signs of the patients， but also effectively prevent complications and reduce the mortality. To improve the quality of life of patients， we should attach great importance to this clinical.
Keywords： biliary acute pancreatitis； general surgery； delayed operation； early operation； effect
【中图分类号】R284.2 【文献标识码】A 【文章编号】1672-3783(2018)12-03--01, http://www.100md.com(张文斌)