【摘要】 目的:探讨胆源性急性胰腺炎(BAP)临床诊断与治疗。方法:对1998年5月～2010年5月70例BAP患者的临床资料进行回顾性分析。结果:本组患者70例,61例经非手术治疗痊愈,9例行早期手术治疗而治愈。经非手术综合治疗后,10例胆总管扩张患者愈后复查胆总管内径明显减小,未发现结石。择期胆道手术40例,有3例自行排石,5例至今未手术,3例失访,无死亡病例。平均住院时间15.7d。结论:对于梗阻型BAP患者应尽早手术引流解除胆道梗阻,对于非梗阻型BAP并发胆道结石患者,应行非手术支持治疗,待病情缓解后,择期胆道手术。更多还原

【Abstract】 Objective:To discuss the diagnosis and treatment of biliary acute pancreatis(BAP).Methods:Clinic data of BAP 70 cases during May 1998 to May 2010 were analyzed retrospectively.Results:A total of 61 cases without surgery and 9 cases with surgery were in cure.After non-surgery combined therapy,reexamination showed 10 cases with choledochectasia had obviously shrinking inner diameter of common bile duct,and no cholelithiasis.Out of 40 cases with bile surgery,3 cases had self-lithagogue.Five cases had no surgery,and 3 cases were free of follow-up.No death occurred.The average hospitalization duration was 15.7 d.Conclusions:Surgery is necessary for obstructive BAP patients,while non-surgery supportive treatment is preferred for non-obstructive patients.The bile surgery should be performed as disease is relieved.更多还原