不同手术时机对急性重症胰腺炎的综合影响比较.pdfVIP

.6. Proceeding of Clinical Medicine .Jan. 2013. Vol~N o.J 文章编号: 1671-8631(2013)01-0006一03 不同手术时机对急性重症膜腺炎的综合影晌比较 林强 (自贡市第三人民医院，四川自贡 643020) 摘要 目的:探讨外科不同手术时机对急性重症膜腺炎(SAP)治疗结果的影响。方法:选择进行治疗的急性重症 膜腺炎患者 64 例为研究对象，根据手术时间分为早期手术组(22 例)、延期手术组(23 例)和非手术组09 例) .就三组 患者治疗前后血液淀粉酶、尿液淀粉酶、病死率、治愈率、并发症情况进行统计比较。结果:早期手术组、延期手术组和 非手术组的并发症发生率分别为 22.73%(5/22).65.22%05/23).42.11%(8/19) ，病死来分别为 13.64% (3/22). 17.39%(4/23).21. 05%(4/19) ，治疗后早期手术组淀粉酶平均水平最低，其次为非手术组，延期手术组平均水平最 高。多个参数显示早期手术组对患者病情治疗效果优于延期治疗和非手术治疗。结论:治疗急性重症膜腺炎时应注重 个体化治疗，选择合适的手术时机和治疗方式有助于提升疗效。 关键词 不同手术时机;急性重症膜腺炎;综合影响比较 申图分类号:R657.51 文献标识码:B The comparison of the comprehensive effects of different timing of surgery in severe acute pancre- atitis L1 N Qiang (The Third People s Hospital of Zigong .Zigong 643020 .China) Abstract Objective: To investigate the effect of different operation timing in severe acute pancreatitis (SAP). Methods: Sixty-four cases of early surgery group in our hospital for treatment with severe acute pancreatitis were cho- sen as the research object. According to the operation time ,they were divided into the early surgery group of 22 cases. and 23 cases in the delayed operation group .19 cases were in the non-surgical group. The blood starch enzymes .urine amylase .mortality rate .cure rate .complications for the three groups of patients before and after treatment were taken for statistical comparison. Results: The incidence of complications of the early surgery group. the delayed operation group and the non-surgical group were 22.74%(5/22).65.22%05/23).42.11%(8/19). The mortality was 13.64% (3/22).17. 39 % (4/23).2 1.