胆源性急性胰腺炎的治疗体会

目的 探讨胆源性急性胰腺炎的治疗方法.方法 回顾性分析我院2002年1月～2006年1月收治的胆源性急性胰腺炎150例的临床资料.结果 轻症胰腺炎126例中,非手术治疗114例,手术治疗12例,均治愈.重症胰腺炎24例中,非手术治疗8例,治愈5例,死亡3例,死亡率为37.50%;手术治疗16例,治愈13例,死亡3例,死亡率为18.75%.重症急性胰腺炎手术治疗组的死亡率显著低于非手术治疗组(P＜0.05).结论 血清ALT和TBIL水平是诊断胆源性急性胰腺炎有价值的敏感指标.抉择好手术时机是"个体化"治疗胆源性急性胰腺炎转归的重要环节.

Choice of operative opportunity for biliogenic acute pancreatitis

Objective To investigate the operative opportunity of biliogenic acute pancreatitis(BAP).Methods150 cases of BAP during January 2002 to January 2006 were analyzed retrospectively.ResultsAmong 126 cases of mild BAP,114 cases were treated non-surgically and 12 cases surgically,and all of them were cured.Among 24 cases of severe BAP,8 cases were treated non-surgically(5 cases were cured and 3 cases died with the mortality being 37.50%);16 cases were treated surgically(13 cases were cured and 3 cases died with mortality being 18.75%).The mortality in operative group was lower than in non-operative group in severe BAP(P<0.05).ConclusionThe levels of serum ALT and TBIL are the sensitive indexes to diagnose BAP.It is important to choose operative opportunity in the individualized treatment of BAP.