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胆源性胰腺炎手术时机的探讨

Discussion on the operative opportunity for gallstone pancreatitis

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【作者】 周波张少宏全主见严强何炎银珍

【Author】 ZHOU Bo,ZHANG Shao-hong,QUAN Zhu-jian,et al. (Department of General Surgery,The Second People’s Hospital of Huaihua,Hunan 418000,China)

【机构】 怀化市第二人民医院普外科怀化市第二人民医院普外科 湖南怀化418000湖南怀化418000

【摘要】 目的:探讨胆源性胰腺炎(GP)的最佳手术时机。方法:回顾性分析86例GP的临床资料,采用统计学方法进行分析总结。结果:早期手术组(38例)和延期手术组(48例)并发症发生率分别为28.9%和6.3%(P<0.01);死亡率分别为7.9%和0(P<0.05);胆总管探查率分别为92.1%和52.1%(P<0.01)。早期手术组的并发症发生率、死亡率及胆总管探查率均明显高于延期手术组。结论:GP应采用以延期手术为主,并与个体化相结合的处理原则。

【Abstract】 Objective:To discuss the optimal opportunity of operation for gallstone pancreatitis(GP). Methods:The clinical data in 86 patients with GP were analysed retrospectively and statistically.Results:The incidence rate of complication,the mortality and the rate of common bile duct exploration were 28.9%,7.9% and 92.1% respectively in the early operation group(38 cases),significantly higher than those(6.3%,0 and 52.1% respectively) in the delayed operation group(48 cases)(P<0.01,P<0.05 and P<0.01 respectively).Conclusion:It is suggested that the delayed operation is the main way for GP,and with the combination of delayed operation and individuating treatment.

【关键词】 胰腺炎外科学胆石症并发症
【Key words】 PancreatitisSurgeryCholelithiasisComplication
  • 【文献出处】 现代医药卫生 ,Modern Medicine & Health , 编辑部邮箱 ,2007年19期
  • 【分类号】R657.5
  • 【被引频次】6
  • 【下载频次】21
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