中西医结合治疗胰腺假性囊肿的疗效分析.docxVIP

中西医结合治疗胰腺假性囊肿的疗效分析 吴文彬 (成都市天府新区华阳四川石油管理局总医院外一科四川成都610213) 【摘 要】目的：探讨中西医结合治疗胰腺假性囊肿的方法及疗效。方法： 以我院2012年1月~2013年12月收治的急性胰腺炎后并发的胰腺假性囊肿34 例为研究组，以2010年1月~2011年12月收治的急性胰腺炎后并发的胰腺假性 囊肿33例为对照组。研究组给予中西医结合治疗，对照组给予常规西医治疗， 比较2组临床疗效。结果：研究组痊愈率高于对照组，无效率低于对照组，差异 具有统计学意义；2组好转率的差异没有统计学意义。结论：对胰腺假性囊肿采 用中西医结合治疗方法，能有效促进囊肿的吸收，并避免手术的治疗。 【关键词】急性胰腺炎；胰腺假性囊肿；西医；中医 【中图分类号】R576 【文献标识码】A 【文章编号】1004-6194 (2015 ) 01-0038-02 Analysis of the effect of western medicine integrating Chinese traditional medicine for pancreatic pseudocyst [Abstract] Objective:To explore the method and effect of western medicine integrating chinese traditional medicine for pancreatic pseudocyst.Methods:34 cases of pancreatic pseudocyst resulted from acute pancreatitis from January in 2012 to December in 2013 were the studied group in our hospital.33 cases of pancreatic pseudocyst resulted from acute pancreatitis from January in 2010 to December in 2011 were the control group in our hospital.The studied group was gave western medicine integrating Chinese traditional medicine.The control group was gave western medicine without chinese traditional medicine.We compared the effect between 2 groups.Results:The rate of being fully recoved in the studied group was higher than that in the control group.The in valid rate in the studied group was lower than that in the control group.The differenee was all statistically sign讦icant.The d iff ere nee of the rate of improveme nt had no statistically sign ifica nt in 2 groups.Conclusion:The method of western medicine integrating chinese traditional medicine can effectively promote the absorption and avoid surgical operation for pancreatic pseudocyst resulted from acute pancreatitis. [Key words] acute pancreatitis; pancreatic pseudocyst; western medicine; chinese traditional medicine 胰腺假性囊肿是急性胰腺炎的一种晚期并发症，多发生于急性胰腺炎1-4 周后，发生率高，是由胰管破裂，胰液外渗并聚集于网膜囊内，刺激周围组织及 器官的腹膜形成纤维化包膜而形成。胰腺假性囊肿可引起感染形成脓肿、囊肿破 裂、粘连周围组织引起肠梗阻及胆道梗阻、内痿等并发症，严重的可侵蚀血管而 发生致死性大岀血。虽然部分患者通过保守治疗可以自行吸收，但许多患者最终 得接受手术治疗。在中医上，胰腺假性囊肿属于“积聚”范畴，中医对急性