| 胆源性胰腺炎手术时机的探讨 |
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| 引用本文： | 周波,张少宏,全主见,严强,何炎,银珍.胆源性胰腺炎手术时机的探讨[J].现代医药卫生,2007,23(19):2861-2862. |
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| 作者姓名： | 周波 张少宏 全主见 严强 何炎 银珍 |
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| 作者单位： | 怀化市第二人民医院普外科,湖南,怀化,418000 |
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| 摘 要： | 目的:探讨胆源性胰腺炎(GP)的最佳手术时机。方法:回顾性分析86例GP的临床资料,采用统计学方法进行分析总结。结果:早期手术组(38例)和延期手术组(48例)并发症发生率分别为28.9%和6.3%(P<0.01);死亡率分别为7.9%和0(P<0.05);胆总管探查率分别为92.1%和52.1%(P<0.01)。早期手术组的并发症发生率、死亡率及胆总管探查率均明显高于延期手术组。结论:GP应采用以延期手术为主,并与个体化相结合的处理原则。
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| 关 键 词： | 胰腺炎 外科学 胆石症 并发症 |
| 文章编号： | 1009-5519（2007）19-2861-02 |
| 修稿时间： | 2007-07-04 |
Discussion on the operative opportunity for gallstone pancreatitis |
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| ZHOU Bo ZHANG Shao-hong,QUAN Zhu-jian,et al..Discussion on the operative opportunity for gallstone pancreatitis[J].Modern Medicine Health,2007,23(19):2861-2862. |
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| Authors: | ZHOU Bo ZHANG Shao-hong QUAN Zhu-jian |
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| Abstract: | Objective:To discuss the optimal opportunity of operation for gallstone pancreatitis(GP). Methods:The clinical data in 86 patients with GP were analysed retrospectively and statistically.Results:The incidence rate of complication,the mortality and the rate of common bile duct exploration were 28.9%,7.9% and 92.1% respectively in the early operation group(38 cases),significantly higher than those(6.3%,0 and 52.1% respectively) in the delayed operation group(48 cases)(P<0.01,P<0.05 and P<0.01 respectively).Conclusion:It is suggested that the delayed operation is the main way for GP,and with the combination of delayed operation and individuating treatment. |
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| Keywords: | Pancreatitis Surgery Cholelithiasis Complication |
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