重症急性胆管炎的手术治疗方法与效果观察

目的探讨重症急性胆管炎的手术治疗方法与临床效果。方法选取2009年4月～2012年4月在笔者所在医院接受治疗的重症急性胆管炎患者74例,随机将所有患者分为研究组和对照组各37例。对照组给予抗生素进行保守治疗。研究组在具体分析患者的身体状况、病情以及病理个体差异性的基础上选择最为适宜患者的手术方法进行治疗。结果治疗后,研究组总有效率为91.89%;对照组总有效率为67.57%,两组总有效率比较,差异有统计学意义(P<0.05)。结论采用手术方法治疗重症急性胆管炎,能有效降低死亡率,提高患者生存质量,疗效显著,安全性高。

Effect observation of surgical treatment for severe acute cholangitis

Objective To investigate the clinical effects of surgical treatment for severe acute cholangitis.Methods 74 cases of patients with severe acute cholangitis from April 2009 to April 2012 in the author's hospital were selected and randomly divided into study group and control group,with 37 cases in each group.Control group was given antibiotics conservative treatment.Research group was given the most suitable surgical treatment after specific analysis of the physical condition,disease,and pathological individual differences.Results After treatment,total effective rate of the study group was 91.89%;that of control group was 67.57%,the total effective rate two groups compared,the difference was statistically significant (P < 0.05).Conclusion Surgical treatment of severe acute bile duct,can effectively reduce mortality and improve quality of life of patients with significantly effect,high safety.