胆源性胰腺炎45例手术时机选择对比分析

目的:探讨轻型急性胆源性胰腺炎的手术时机。方法:将45例胆源性胰腺炎按入院后的手术时间分为早期手术组(A组)和延期手术组(B组)两组,观察两组患者术后效果。结果:早期手术组较延期手术组并发症发生率高(P<0.05);两组病死率无显著性差异。早期手术和延期手术组胆总管探查率分别为94.8%和38.3%,胆总管探查阳性率分别为44.8%和89.6%。结论:早期手术和延期手术组均是安全的。最佳手术时机是炎症发作消退、血清淀粉酶降至正常后首次住院期内。

Opportunity of surgical treatment for mild acute gallstone pancreatitis

Objective：To explore the opportunity of surgical treatment for mild acute gallstone pancreatitis（AGP）.Methods ：The clinical records and therapeutic results of 45 patients with mild AGP from 2002 to 2008 were reviewed and analyzed retrospectively.The patients were divided into two groups according to the opportunity of operation after admission;group A,early operation;group B,delayed operation.Results ：The incidence of complication in group A was significantly higher than in group B.There was no significantly difference in mortality between the two groups.The rate of common bile exploration in group A and group B was 94.8% and 38.3% and the positive rate was 44.8% and 89.6% respectively.Conclusion：Both early and delayed operations are safe.The best opportunity should be that after the inflammation dissipates and serum amylase becomes normal during the first hospitalization.