外科手术时机及方式对重症急性胰腺炎疗效的影响
Influence of surgical operation timing and stytle to treatment effect of severe acute pancreatitis
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摘要: 目的: 探讨重症急性胰腺炎(SAP)的治疗经验。方法: 分析上海交通大学附属第六人民医院2003年1月至2006年1月收治的78例SAP患者临床资料,根据治疗方法不同分为三组,其中早期手术组21例,延期手术组12例,非手术组45例。结果: 早期手术组、延期手术组、非手术组的并发症发生率分别为28.5%(6/21)、75%(9/12)、46.6%(21/45);病死率分别为14.3%(3/21)、33.3%(4/12)、17.8%(8/45)。三组之间的并发症发生率及病死率相比较均有显著差异性(P<0.05);其中早期手术组并发症发生率、病死率最低,非手术治疗组次之,延期手术组最高。结论: 以个体化综合治疗措施为基础,恰当的选择手术时机与方式有助于提高重症急性胰腺炎疗效。Abstract: Objective: To investigate the principles of treatment for severe acute pancreatitis（SAP）.Methods: A retrospective analysis of the clinical data of 78 cases of SAP.Three groups were divided according to different treatment methods,including early operation group 21 cases,dealy operation group 12 cases and non-operation group 45 cases.Results: The complication mobidity rate was 28.5%（6/21）、 75%（9/12）、 46.6%（21/45）respectively in early operation group、dealy operation group and non-operation group;the mortality rate was 14.3%（3/21）、 33.3%（4/12）、 17.8%（8/45）respectively in early operation group、dealy operation group and non-operation group.There were significant differences among the three groups（P＜0.05）.The complication mobidity and mortality rates were the lowest in early operation group,conversely,and those were the highest in dealy operation group.As for the non-operation group,in the midist of them.Conclusion: The treatment of SAP should depend on the synthesized principle.The proper operation timing and methods will improve the treatment effect.
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