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[目的]探讨腹腔镜腹腔灌洗引流术在治疗重症急性胰腺炎(SAP)中的临床价值。[方法]回顾性分析50例SAP病人应用腹腔镜腹腔灌洗引流术治疗的临床资料。[结果]应用腹腔镜腹腔灌洗引流术治疗50例的治疗组(A组)与采用保守综合治疗40例的对照组(B组)的SAP患者的体温、腹痛、心悸心促等临床症状、体征及BUN、Cr、Ca2+、GTP、血淀粉酶等生化指标改善的时间平均早2~3d,差异有统计学意义(P﹤0.01);A、B组的治愈率分别为98.00%、87.5%,差异有统计学意义(P﹤0.05)。[结论]腹腔镜腹腔灌洗引流术在治疗SAP患者中,可使胰腺周围及腹腔内器官受损减轻,全身中毒症状较快缓解,降低死亡率。
[Objective] To investigate the clinical value of laparoscopic laparoscopic drainage in the treatment of severe acute pancreatitis (SAP). [Methods] The clinical data of 50 cases of SAP treated with laparoscopic laparoscopic lavage and drainage were retrospectively analyzed. [Results] Clinical symptoms, such as body temperature, abdominal pain and heart palpitations in patients with SAP treated with laparoscopic peritoneal lavage and drainage in 50 patients (group A) and those in control group (group B) treated with conservative treatment in 40 patients (group B) The biochemical indexes such as BUN, Cr, Ca2 +, GTP, blood amylase and other biochemical indexes were improved as early as 2 ~ 3d on average (P <0.01), and the cure rates in group A and group B were 98.00% and 87.5% , The difference was statistically significant (P <0.05). [Conclusion] Laparoscopic peritoneal lavage and drainage in the treatment of SAP patients can reduce the damage around the pancreas and peritoneal organs, symptoms of systemic poisoning more quickly and reduce the mortality rate.