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目的探讨重症急性胰腺炎(SAP)的外科治疗,以提高治疗效果。方法 42例重症急性胰腺炎患者按治疗方法分为手术治疗组和保守治疗组,其中手术治疗组18例,保守治疗组24例,比较两种治疗方法的效果。结果保守治疗组有效率62.5%,平均住院时间(32.7±12.9)d,并发症发生率66.7%;手术治疗组有效率66.7%,平均住院时间(25.6±6.6)d,并发症发生率38.9%。两组有效率比较差异无统计学意义(P>0.05),两组平均住院时间及并发症发生率比较差异有统计学意义(P<0.05)。结论对SAP患者适时行适当的手术治疗,可减少住院天数,降低并发症发生率,提高治疗效果。
Objective To investigate the surgical treatment of severe acute pancreatitis (SAP) to improve the therapeutic effect. Methods Forty-two patients with severe acute pancreatitis were divided into surgery group and conservative treatment group according to the method of treatment. Among them, 18 patients in the operation group and 24 patients in the conservative treatment group were compared. The effects of the two treatment methods were compared. Results The effective rate of conservative treatment group was 62.5%, the average length of stay was (32.7 ± 12.9) days, the complication rate was 66.7%. The effective rate of operation group was 66.7%, average length of stay (25.6 ± 6.6) d, complication rate was 38.9% . There was no significant difference between the two groups in the effective rate (P> 0.05). There was significant difference between the two groups in the average length of stay and the incidence of complications (P <0.05). Conclusion Appropriate surgical treatment of patients with SAP timely and timely, can reduce the number of hospital days, reduce the incidence of complications and improve the therapeutic effect.