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目的观察比较手术与保守治疗治疗早期急性胆源性胰腺炎的临床效果。方法选取医院收治的早期急性胆源性胰腺炎患者96例,按照其自身意愿分为对照组(55例)和观察组(41例)。对照组采取内科保守治疗,观察组接受手术治疗。比较2组患者血淀粉酶恢复时间、尿淀粉酶恢复时间、腹痛缓解时间、住院时间及临床效果差异。结果观察组血淀粉酶恢复时间、尿淀粉酶恢复时间、腹痛缓解时间和住院时间均明显短于对照组(P<0.01)。观察组治疗后总有效率为90.24%,高于对照组的78.18%(P<0.05)。结论手术治疗早期急性胆源性胰腺炎临床效果显著,是一种值得推广应用的治疗方法。
Objective To compare the clinical effects of surgical treatment with conservative treatment of early acute gallstone pancreatitis. Methods Ninety-six patients with early-stage acute gallstone pancreatitis admitted to the hospital were divided into control group (55 cases) and observation group (41 cases) according to their own wishes. Control group to take conservative treatment, the observation group underwent surgical treatment. Blood amylase recovery time, urinary amylase recovery time, abdominal pain relief time, hospital stay and clinical effects were compared between the two groups. Results The serum amylase recovery time, urine amylase recovery time, abdominal pain relief time and hospital stay in observation group were significantly shorter than those in control group (P <0.01). The total effective rate of the observation group after treatment was 90.24%, which was higher than 78.18% of the control group (P <0.05). Conclusion Surgical treatment of early acute biliary pancreatitis has a significant clinical effect and is worth promoting treatment.