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目的:分析急性胆源性胰腺炎的外科治疗的时机及方案选择。方法:回顾性分析我科在2010年10月~2014年10月收治的接受急性胆源性胰腺炎治疗的患者64例的临床资料,根据患者手术治疗时机的不同将其分为早期手术组和延期手术组,每组有患者32例,两组患者均给予相同的微创手术治疗,分析比较两组患者并发症的发生和死亡情况。结果:延期手术治疗组患者各种并发症的发生情况和术后住院天数均明显优于早期手术组,差异具有统计学意义(p<0.05)。结论:在对急性胆源性胰腺炎手术时间及手术方式的选择上,对患者病情进行全面的评估、现有治疗效果的评价,从而选择合适的治疗手段,尤为重要。
Objective: To analyze the timing and plan of surgical treatment of acute gallstone pancreatitis. Methods: The clinical data of 64 patients who underwent acute gallstone pancreatitis treated in our department from October 2010 to October 2014 were retrospectively analyzed. According to the different timing of surgical treatment, the patients were divided into two groups: early operation group Deferred surgery group, 32 patients in each group, both groups were given the same minimally invasive surgical treatment, analysis and comparison of two groups of patients with complications and death. Results: The incidence of various complication and postoperative hospital stay in delayed surgery group were significantly better than those in early surgery group, the difference was statistically significant (p <0.05). CONCLUSION: It is very important to select the suitable treatment method in the evaluation of the patient’s condition, the evaluation of the existing treatment effect and the selection of the appropriate surgical treatment method in the selection of operation time and operation method of acute gallstone pancreatitis.