【摘要】 目的探讨早期内镜治疗老年重症急性胆源性胰腺炎(SABP)患者的疗效。方法回顾性分析我院2002年6月至2009年6月收治的76例老年SABP患者的临床资料,根据不同的手术方法 ,分为传统手术治疗组和早期内镜治疗组,比较2组患者的临床疗效。结果与传统治疗组相比,早期内镜治疗组的体温恢复正常时间、腹痛消失时间、白细胞计数及淀粉酶恢复正常时间、手术时间、术后进食时间、住院时间均明显缩短(P<0.05),术后复发率、病死率、并发症发生率均明显下降(P<0.05)。结论早期内镜治疗具有微创、有效、安全、疗效确切,应大力推广,是老年ABP较好的治疗方案。更多还原

【Abstract】 Objective To discuss early endoscopic treatment to the aged patients with severe acute gallstone pancreatitis(SABP).Methods To retrospectivly analyze 76 clinical data of the aged SABP patients from June 2002 to June 2009 in our hospital,according to different surgical methods,patients were divided into the traditional surgical treatment group and the early endoscopic therapy group,then to compare the clinical efficacy of two groups.Results Compared with conventional treatment group,the body temperature recovery time,abdominal pain duration,white blood cell count and time of amylase returned to normal,surgery time,eating time and hospital stay time in the early endoscopic therapy group were significantly shorter(P<0.05)the recurrence rate,mortality,complication rate were significantly decreased(P<0.05).Conclusion Early endoscopic therapy was effective,safe,should be widely spreaded,which was the better treatment to old ABP.更多还原