胆源性胰腺炎的手术时机探讨

目的 为提高急性且源性胰腺炎（ＡＧＰ）的治疗效果，探索ＡＧＰ早期手术适应证衣最佳手术时机。方法 通过回顾分析１４３例ＡＧＰ病人并将其生胆源笥胰腺炎９ＯＡＧＰ（及非梗阻性胆源笥胰腺炎（ＮＯＡＧＰ）２组。结果 ＯＡＧＰ组４９例作了交早期手术，４４例治愈，ＮＯＡＧＰ组９４例均先行非手术治疗，２周至３个月后再行延期胆道手术，结果死亡１例，余均治愈。结论 必须正确把握ＡＧＰ的手术时机，并认为：具有梗因素的Ａ

THE DISCUSSION OF OPERATION TIMING FOR ACUTE GALLSTONE PANCREATITIS

Objective To study the therapeutic effects and explore the early surgical indication and optimun operation timing in patients with acute gallstone pancreatitis(AGP).Methods 143 cases of AGP were retrospectively analysed and were devided into two groups:AGP with biliary obstruction(OAGP)and with no biliary obstruction(NOAGP).Results all 49 cases in OAGP were treated by earlier biliary operations and 44 cases were cured;all 94 NOAGP cases by non surgical procedure.Conclusion The results indicated that it was important to choose the proper operation timing and it suggested that earlier operation should be performed for those OAGP after positive medical therapy in 24-72 hours under intensively monitoring,while early nonoperative methods and selective operation should be accepted for those NOAGP cases.