论文部分内容阅读
目的:探讨急性胆源性胰腺炎(ABP)手术时机和术式的选择。方法:回顾性分析247例急性胆源性胰腺炎的临床资料。结果:非手术治疗10例,死亡4例;12例急诊手术后发生并发症5例,死亡2例;169例延期手术术后发生并发症1例,治愈;56例择期手术无并发症发生。结论:以胆道梗阻为主的ABP应急诊手术解除胆道梗阻;胆道无梗阻先采用非手术治疗,胰腺炎控制后,再处理胆道病变。
Objective: To investigate the timing and surgical options of acute gallstone pancreatitis (ABP). Methods: A retrospective analysis of 247 cases of acute gallstone pancreatitis clinical data. Results: Non-surgical treatment in 10 cases, 4 cases of death; complications occurred in 12 cases of emergency surgery in 5 cases, 2 cases of death; 169 cases of postoperative complications occurred in 1 case, cured; 56 cases of elective surgery without complications. Conclusion: The biliary obstruction-based emergency surgical diagnosis of biliary obstruction; biliary obstruction using non-surgical treatment of pancreatitis control, and then treatment of biliary lesions.