重症急性胰腺炎外科治疗方法的探讨

目的:探讨重症急性胰腺炎(SAP)的合理治疗方法。方法:回顾近20年来我科158例SAP的不同治疗方式,对比研究以早期手术治疗为主的A组(73例)和以非手术综合治疗为主的B组(85例)的并发症发生率、住院天数及住院费用情况。结果:B组的并发症发生率、平均住院天数及住院费用明显低于A组(P＜0.01)。结论:SAP的综合性非手术治疗是有效方法之一,而手术治疗则是合理的补充。

Study on the management of acute severe pancreatitis

Objective: To study the rational therapeutic regimen in the treatment of severe acute pancreatitis (SAP). Methods:One hundred and fifty eight cases of SAP were admitted to our department during the past 20 years (from 1980 to 1998),comparison was made between 73 cases in group A who were treated mainly by early operation and 85 cases in group B who were treated nonoperatively in the terms of complications rate, the mean hospitalization days and the hospitalization fee. Results:The incidence of complication, the mean hospitalization days and the hospitalization fee was lower in group B than in group A ( P <0.01) . Conclusion:It is an effective methods to adopt the combined nonoperative treatment in early SAP, and surgical operation is a rational addition.