胆源性胰腺炎手术时机的探讨
【摘要】目的:探讨胆源性胰腺炎(GP)的最佳手术时机。方法:回顾性分析86例GP的临床资料,采用统计学方法进行分析总结。结果:早期手术组(38例)和延期手术组(48例)并发症发生率分别为28.9%和6.3%(P<0.01);死亡率分别为7.9%和0(P<0.05);胆总管探查率分别为92.1%和52.1%(P<0.01)。早期手术组的并发症发生率、死亡率及胆总管探查率均明显高于延期手术组。结论:GP应采用以延期手术为主,并与个体化相结合的处理原则。
【关键词】胰腺炎;外科学;胆石症;并发症
文章编号:1009-5519(2007)19-2861-02 中图分类号:R6 文献标识码:A
Discussion on the operative opportunity for gallstone pancreatitis
ZHOU Bo,ZHANG Shao-hong,QUAN Zhu-jian,et al.
(Department of General Surgery,The Second People's Hospital of Huaihua,Hunan 418000,China)
【Abstract】Objective:To discuss the optimal opportunity of operation for gallstone pancreatitis(GP). Methods:The clinical data in 86 patients with GP were analysed retrospectively and statistically.Results:The incidence rate of complication,the mortality and the rate of common bile duct exploration were 28.9% ......
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