开腹手术和腹腔镜手术治疗急性胆源性胰腺炎的对比性研究(1)
摘 要：目的 比较开腹手术和腹腔镜手术治疗急性胆源性胰腺炎的临床疗效。方法 选取2015年9月～2017年2月到我院就诊的急性胆源性胰腺炎患者130例，随机分为对照组和观察组，各65例。对照组患者采用开腹手术治疗，观察组患者采用腹腔镜手术进行治疗。比较两组患者出血量、止痛时间、住院时间及术后总恢复率。结果 观察组患者出血量为(84.81±0.27)ml、止痛时间(2.3±1.21)d、住院时间(14.21±3.27)d，低于对照组患者的出血量(145.42±0.16)ml、止痛时间(8.1±2.12)d以及住院时间(22.1±2.06)d，差异有统计学意义(P<0.05);观察组患者术后总恢复率(86.15%)高于对照组的总恢复率(76.92%)，差异有统计学意义(P<0.05)。结论 采用腹腔镜手术治疗急性胆源性胰腺炎，可以降低手术出血量，止痛时间，也可以缩短患者的住院时间，创伤小，恢复率高。
关键词：腹腔镜手术;开腹手术;胆源性胰腺炎
中图分类号：R657.51 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.16.023
, http://www.100md.com
文章编号：1006-1959(2018)16-0082-03
Comparative Study of Open Surgery and Laparoscopic Surgery for Acute Biliary Pancreatitis
DAI Fang-ke
(Department of General Thoracic Oncology，Xi'an Electric Power Central Hospital，Xi'an 710038，Shaanxi，China)
Abstract：Objective To compare the clinical efficacy of open surgery and laparoscopic surgery for acute biliary pancreatitis.Methods A total of 130 patients with acute biliary pancreatitis who were admitted to our hospital from September 2015 to February 2017 were enrolled.They were randomly divided into control group and observation group，65 cases each.Patients in the control group were treated with open surgery，and patients in the observation group were treated with laparoscopic surgery.The amount of bleeding，the time of analgesia， the length of hospital stay，and the total recovery rate after surgery were compared between the two groups.Results The bleeding volume of the observation group was(84.81±0.27)ml，analgesic time(2.3±1.21)d，hospitalization time(14.21±3.27)d，lower than the control group (145.42±0.16)ml，analgesic time(8.1±2.12)d and hospitalization time(22.1±2.06)d，the difference was statistically significant(P<0.05);The total recovery rate (86.15%) in the observation group was higher than that in the control group (76.92%)，and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery for acute biliary pancreatitis can reduce the amount of surgical bleeding，pain relief time，and shorten the length of hospital stay.The trauma is small and the recovery rate is high.
Key words：Laparoscopic surgery;Open surgery;Biliary pancreatitis
急性膽源性胰腺炎(acute biliary pancreatitis，ABP)是一种因为胆道结石、炎症等可引起胰管梗阻，胰黏膜屏障损害等症状的外科疾病[1]。目前对ABP的治疗主要有药物治疗以及手术治疗，比较紧急的情况以手术治疗为主，之前临床常用的手术治疗需要做开腹手术，这样手术方法存在对患者损伤较大，术后恢复较慢等问题[2，3]。为此，科室特地引进腹腔镜手术治疗方法，以期提高对治疗急性胆源性胰腺炎患者的疗效，具体研究过程如下所示。, 百拇医药(代方科)
关键词：腹腔镜手术;开腹手术;胆源性胰腺炎
中图分类号：R657.51 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.16.023
, http://www.100md.com
文章编号：1006-1959(2018)16-0082-03
Comparative Study of Open Surgery and Laparoscopic Surgery for Acute Biliary Pancreatitis
DAI Fang-ke
(Department of General Thoracic Oncology，Xi'an Electric Power Central Hospital，Xi'an 710038，Shaanxi，China)
Abstract：Objective To compare the clinical efficacy of open surgery and laparoscopic surgery for acute biliary pancreatitis.Methods A total of 130 patients with acute biliary pancreatitis who were admitted to our hospital from September 2015 to February 2017 were enrolled.They were randomly divided into control group and observation group，65 cases each.Patients in the control group were treated with open surgery，and patients in the observation group were treated with laparoscopic surgery.The amount of bleeding，the time of analgesia， the length of hospital stay，and the total recovery rate after surgery were compared between the two groups.Results The bleeding volume of the observation group was(84.81±0.27)ml，analgesic time(2.3±1.21)d，hospitalization time(14.21±3.27)d，lower than the control group (145.42±0.16)ml，analgesic time(8.1±2.12)d and hospitalization time(22.1±2.06)d，the difference was statistically significant(P<0.05);The total recovery rate (86.15%) in the observation group was higher than that in the control group (76.92%)，and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery for acute biliary pancreatitis can reduce the amount of surgical bleeding，pain relief time，and shorten the length of hospital stay.The trauma is small and the recovery rate is high.
Key words：Laparoscopic surgery;Open surgery;Biliary pancreatitis
急性膽源性胰腺炎(acute biliary pancreatitis，ABP)是一种因为胆道结石、炎症等可引起胰管梗阻，胰黏膜屏障损害等症状的外科疾病[1]。目前对ABP的治疗主要有药物治疗以及手术治疗，比较紧急的情况以手术治疗为主，之前临床常用的手术治疗需要做开腹手术，这样手术方法存在对患者损伤较大，术后恢复较慢等问题[2，3]。为此，科室特地引进腹腔镜手术治疗方法，以期提高对治疗急性胆源性胰腺炎患者的疗效，具体研究过程如下所示。, 百拇医药(代方科)