急性胆源性胰腺炎66临床治疗分析

目的:探讨急性胆源性胰腺炎的临床治疗方法和效果。方法:对66例急性胆源性胰腺炎的临床资料进行回顾性分析。结果:早期手术10例(15.2%),2周后择期手术21例(31.8%),非手术治疗35例(53.0%),非手术治疗组和择期手术治疗组的住院时间均短于早期手术组(P<0.05或0.01),早期手术组有2例出现并发症,66例患者治愈率100%,无死亡病例。结论:急性胆源性胰腺炎的治疗依患者有无梗阻制定不同的治疗方案,尽可能在严密观察病情变化的情况下先行保守治疗。

Clinical Analysis of 66 Cases of Acute Gallstone Pancreatitis

Objective:To investigate the treatment methods and results of acute gallstone pancreatitis.Methods:66 cases of acute gallstone pancreatitis were retrospectively analyzed.Results:Early surgery in 10 cases(15.2%),elective surgery in 21 cases(31.8%),35 patients(53.0%) accepted non-surgical treatment.Hospital stay time of non-surgical group and elective surgery group was shorter than the early surgery group(P<0.05 or 0.01),There were 2 cases of complications in early surgery group;cure rate of 66 patients was 100%,no deaths.Conclusion:By depending on the state of if there were obstruction,the treatment method of acute gallstone pancreatitis should be developed in different options;possible choose conservative treatment firstly under closely observing the changes of disease.