【摘要】 目的　探讨重症胆源性胰腺炎 (SBP)的手术时机和方法。方法　对比分析了早期手术组 (2 4例 )和延期手术组 (2 6例 )的手术适应症、并发症发生率和死亡率。结果　早期组和延期组并发症发生率分别为 2 9.2 %和 5 3.9% (P>0 .0 5 ) ;死亡率分别为 8.3%和 1 9.2 % (P>0 .0 5 )。发病 1～ 2周内手术者预后相对较差。结论　 SBP应采用个体化和延期手术相结合的处理方针 ,伴有胆道梗阻 ,胆囊张力过大 ,化脓性胆管炎或病情发展迅猛非手术治疗无效者应尽早手术治疗更多还原

【Abstract】 Objective To explore the features of operative treatment of severe biliopancreatitis(SBP).Methods We studied the operative indication,the incidence and mortality of operative complication of early phase (24 cases) and delayed phase(26 cases)groups.Result The incidence of complication of early phase and delayed phase groups is 29.2% and 53.9%( P >0.05) respectively;the mortality of them is 8.0% and 19.2%( P >0.05).The cases,whose course of disease are one to two weeks have bad prognosis.Conclusion We suggest delayde and selective surgery for SBP,The cases of that accompanied with biliary tract obstruction,continuous high cholecystic tension,suppurative cholecysitis and invalid conservative treatment,should be operated as soon as possible.更多还原