急性坏死性胰腺炎外科治疗分析

目的：探讨急性坏死性胰腺炎合理的外科治疗方法。方法：１９９７年１月至１９９９年６月共治疗急性坏死性胰腺炎４９例,其中非手术治疗３５例。手术治疗１４例。结果：总治愈率为９１．８４％。其中非手术治愈率为９４．２９％,手术治愈率为８５．７２％。非手术组并发症为０,手术组为１４．２８％。两组死亡率均为０。结论：急性坏死性胰腺炎应采取非手术与手术并重的综合治疗体系。手术应简化,以适度的坏死组织清除和引流较为合理。

Analysis of the Surgical Management on Acute Necrotizing Pancreatitis

OBJECTIVE:To evaluate the rational method in the treatment of acute necrotizing pancreatitis(ANP). METHODS:From Jan. 1997 to Jun. 1999, forty nine cases of ANP were admitted in our hospital. In them, thirty five cases were treated mainly by operations. RESULTS:Total cure rate is 91 84%. The cure rate of non operation is 94 29%, of operation is 85 72%. The rate of complications in non operative group is zero, in operative group is 14 28%. The mortality of both groups is zero. CONCLUSION:The system of combining non operation with operation should be adopted in treating the cases of ANP. The operative procedures should be simplified. It is preferable method that sequestrectomy and drainage should be undertaken in the operation of ANP.