急性胆源性胰腺炎72例诊治体会

目的 探讨急性胆源性胰腺炎(ABP)的诊治方法与手术时机.方法 回顾性分析2007年1月～ 2010年1月72例ABP的临床资料.结果 轻症ABP 56例:非梗阻型49例,梗阻型7例,早期采用非手术治疗,后择期手术.重症ABP16例:有胆道梗阻12例,无胆道梗阻4例,早期行急诊手术或ERCP、EST及ENBD网篮取石术...

DIAGNOSIS AND TREATMENT OF 72 CASES ACUTE BILIARY PANCREATITIS

Objective To investigate the acute biliary pancretitis(ABP) in the treatment method and timing of surgery.Methods A retrospective analysis in 2007.1~2010.1 clinical data of 72 patients with ABP.Results Mid ABP56 cases:49 cases of non –obstruction,obstruction 7 cases of early non-surgecal treatment and after elective surgery.Severe ABP 16 example:courage obstruction in 12 cases,4 cases patients without biliary obsruction,early emergment surgery or ERCP,EST and ENBD basket lithotomy;non-obstruction in 4 cases,first non-surgical treatment,post –line gallstone surgery.Cured 70 patients(97.2%),2 cases(2.7%) died of severe acute pancreatitis.70 patients followed up for 0.5~3 years,an average of 2.1 years,with no long complications and recurent pancreatitis.Conclusion The type and rule ABP should also need to follow the "individual" treatment principle,choose the appropriate timimg of surgical treatment is to reduce complications and improve the cure rate of the key.