重症急性胰腺炎治疗方法的选择与疗效分析

目的：探讨重症急性胰腺炎非手术与手术治疗方法的选择及疗效分析,总结治疗经验。方法：收集1996年1月～2009年12月本院治疗的126例重症急性胰腺炎患者的临床资料,并对其临床治疗方案的选择与治疗效果进行回顾性分析。结果：非手术治疗组75例,病死率为13.33%,治愈率为86.66%,并发症发生率为10.67%;手术治疗组51例,手术病死率为35.29%,治愈率为64.70%,并发症发生率为43.13%。非手术治疗组和手术治疗组病死率、治愈率、并发症发生率经统计学处理,P〈0.05,差异有统计学意义。结论：重症急性胰腺炎的治疗,应以非手术治疗为主,手术治疗应辅助个体化综合治疗方案,才能最大程度提高生存率、治愈率,降低死亡率及并发症发生率。

Severe acute pancreatitis treatment choice and efficacy

Objective：To investigate the clinical effect and treatment choice in severe acute pancreatitis with surgical and non-surgical,summary treatment methods and clinical experiences. Methods：Collected 126 cases with severe acute pancreatitis from January 1996 to December 2009 in our hospital,analyzed retrospectively clinical treatment options and theapeutic effects. Results：Non-surgical group：75 cases,mortality rate was 13.33%,cure rate was 86.66%,complication rate was 10.67%; Surgical group：51 cases,Mortality rate was 35.29%,cure rate was 64.70%,complication rate was 43.13%. non-surgical group and surgical group,the mortality rate,complications,and treatment by statistically significant difference （P0.05）. Conclusion：The treatment of severe acute pancreatitis,should give priority to with non-surgical treatment,surgical treatment of comprehensive auxiliary therapeutic can improve survival and cure rate to the greatest extent,reduce mortality rate and complications.