摘要
急性坏死性胰腺炎（ＡＮＰ）的手术时机及手术指征仍存争议。作者对该院１９８５年以来手术治疗的１１９例ＡＮＰ患者进行分析。将发病２周以内手术者定为早期手术，２周以后手术者为晚期手术。发现早期手术病例术中病理所见多为局灶性坏死（占７５．６％），术后并发症以循环及胰外脏器功能紊乱为主，术后死亡率达２８．２％；而晚期手术者多系全胰坏死型（占５３．７％），术后并发症以胰周局部脏器病变为主，死亡率降至１２．３％。因此作者认为ＡＮＰ应尽可能采用晚期手术，并对早期及晚期手术的指征进行了讨论。
Aims:To investigate the opportunity and indication of operation in the treatment of acute necrotizing pancreatitis(ANP) which is still controversial. Methods: One hundred and ninteen operated cases of ANP since 1985 were analyzed retrospectively. Results: The early operation was defined that the surgery was performed in 2 weeks since onset, and the late operation was defined after 2 weeks. In early operation, the pancreatic sporadic focal necrosis was found in most cases(75.6%), and the main postoperative complications were disturbances of blood circulation and organic function of pancreas. The postoperative mortality rate was 28.2%; In late operation, the extensive fusional pancreatic necrosis was found in most cases(53.7%), and the postoperative complications were mostly located in the organs closed to pancreas, and with the mortality rate 12.3%. Conclusions: The authors concluded that the late operation is the best strategy for the treatment of ANP. The indications of early and late operation were discussed.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1997年第3期135-137,共3页
Chinese Journal of Surgery
关键词
胰腺炎
外科手术
手术后
并发症
死亡率
ANP
Pancreatitis Pancreatic sporadic focal necrosis Peripancreatic abscess
