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目的:讨论急性胆源性胰腺炎的手术时机和手术方式。方法:急性胆源性胰腺炎33例患者,根据胆管梗阻情况和胰腺炎严重程度分别采取不同的治疗方案。结果:无胆管梗阻的胰腺炎采取非手术治疗,胰腺炎恢复后行胆囊切除术,效果良好;合并胆管梗阻的胰腺炎早期手术,以解除胆管梗阻,效果良好。结论:手术治疗急性胆源性胰腺炎应根据胆管有无梗阻,结合胰腺炎严重程度制定相应手术方式和选择恰当的手术时机。
Objective: To discuss the timing and operation of acute gallstone pancreatitis surgery. Methods: Acute biliary pancreatitis in 33 patients, according to the severity of biliary obstruction and pancreatitis were treated with different programs. Results: Pancreatitis without biliary obstruction was treated non-operatively. Cholecystectomy was performed after the recovery of pancreatitis, and the effect was good. The early operation of biliary pancreatitis with bile duct obstruction was performed to relieve the obstruction of bile duct and the effect was good. Conclusion: Surgical treatment of acute gallstone pancreatitis should be based on whether the obstruction of the bile duct, combined with the severity of pancreatitis to develop the appropriate surgical approach and select the appropriate timing of surgery.