论文部分内容阅读
目的对比分析早期内镜治疗与保守治疗胆石性胰腺炎患者的临床疗效。方法选取益阳市第三人民医院2010年5月~2013年3月收治入院的胆石性胰腺炎患者83例,根据治疗方式随机分为实验组(n=42)与对照组(n=41)。实验组患者实施早期内镜下取石治疗,对照组实施保守治疗,对比观察2组患者的临床疗效。结果实验组患者血淀粉酶恢复(65.83±7.54)h及腹痛缓解时间(49.82±7.93)h、住院时间(10.48±3.14)d均明显较对照组短,术后近期复发率11.90%与并发症发生率9.52%均明显低于对照组,差异有统计学意义(P<0.05)。结论胆石性胰腺炎在病程早期实施内镜介入取石治疗,相比保守治疗,可以有效缩短患者病情缓解及住院时间,减少术后并发症及复发,有效提高临床治疗效果。
Objective To compare and analyze the clinical efficacy of early endoscopic treatment and conservative treatment of gallstone pancreatitis. Methods Eighty-three patients with gallstone pancreatitis admitted to Yiyang Third People’s Hospital from May 2010 to March 2013 were randomly divided into experimental group (n = 42) and control group (n = 41) according to the treatment method. Patients in the experimental group were treated with early endoscopic lithotripsy, and those in the control group were treated conservatively. The clinical effects of the two groups were compared. Results The serum amylase recovery (65.83 ± 7.54 h) and abdominal pain relief time (49.82 ± 7.93 h) and hospital stay (10.48 ± 3.14) d in the experimental group were significantly shorter than those in the control group. The postoperative recurrence rate was 11.90% and the complication rate The incidence of 9.52% were significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusions Gallstone pancreatitis can be treated by endoscopic interventional stone early in the course of the disease. Compared with conservative treatment, it can shorten the patient’s condition and hospital stay, reduce postoperative complications and recurrence, and effectively improve the clinical effect.