胆源性急性胰腺炎82例临床分析

目的：探讨胆源性急性胰腺炎的治疗方法。方法：回顾性分析82例胆源性急性胰炎患者的临床资料,82例胆源性急性胰腺炎患者,早期手术25例,经综合治疗后择期手术17例。其中单纯胆囊切除术2例;胆囊切除并胆总管切开取石、探查术40例,T管引流6例。非手术治疗40例。结果：1例重型胆源性急性胰腺炎因病情太重手术时死亡,1例患者因拒绝手术治疗多脏器衰竭死亡,其余80例经治疗后,全部痊愈出院。随访1～3年,平均2.5年,无胰腺炎再次发作。结论：针对轻型胆源性急性胰腺炎早期应以非手术治疗为宜,而重型胆源性急性胰腺炎应早期积极手术。

Clinical analysis of 82 cases with biliary acute pancreatitis

Objective: To explore the treatment for biliary acute pancreatitis.Methods: Retrospectively analyzed clinical date of 82 cases with biliary acute pancreatitis.25 cases had surgery at early stage,and 17 cases had surgery after comprehensive therapy.2 cases had simple cholecystectomy;41 cases had simple cholecystectomy,choledocholithotomy and t-tube drainage,and duct exploration;6 cases had t-tube drainage and 40 cases were treated with non-surgery therapy.Results: 1 case with severe biliary acute pancreatitis died during surgery and 1 case rejecting surgery died of multi-visceral failure.All others were discharged in cure,The follow-up of 1～3 years,averaging 2.5 years showed no reoccurrence of pancreatitis.Conclusion: The treatment for light biliary acute pancreatitis is non-surgery therapy,while it is the best for severe biliary acute pancreatitis to take surgery as soon as possible.