摘要
随着微创理念的不断发展,重症急性胰腺炎的治疗模式发生了巨大变化。外科干预倾向从干预过度转向干预不足,干预时机从较早转向较迟,干预方式从以开放为主体转向以微创为先导。外科干预倾向的转化既符合微创潮流,又顺应创伤递升式诊疗模式,但仍存在一些不足:外科干预不足、时机与指征把握不当及过度依赖微创手术。正确掌握外科干预的指征,准确把握外科干预的时机,合理选择外科干预的方式是解决干预不足的关键。注重多学科团队协作,正确认识外科干预的作用与地位是降低重症急性胰腺炎患者病死率的关键。
With the development of minimally invasive concept,the treatment mode of severe acute pancreatitis has changed greatly.The tendency of surgical intervention has changed from excessive intervention to inadequate intervention.The timing of intervention has changed from earlier to later,and the mode of intervention has changed from openness as the main way to minimally invasive as the guidance.The transformation of surgical intervention tendency conforms to both minimally invasive trend and the step-up approach,but there are still some shortcomings:inadequate surgical intervention,inappropriate timing and indications,and over dependence on minimally invasive surgery.Correctly grasping the indications of surgical intervention,accurately grasping the timing of surgical intervention,and reasonably choosing the mode of surgical intervention are the keys to solve the insufficiency of surgical intervention.Laying emphasis on multidisciplinary team and correctly recognizing the role and status of surgical intervention can effectively reduce the mortality of severe acute pancreatitis patients.
作者
孙备
李冠群
Sun Bei;Li Guanqun(Department of Pancreatic and Biliary Surgery,the First Affiliated Hospital of Harbin Medical University,Key Laboratory of Hepatosplenic Surgery,Ministry of Education,Harbin 150001,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2019年第10期725-729,共5页
Chinese Journal of Surgery
基金
国家自然科学基金(81670583)。
关键词
胰腺炎
急性坏死性
外科手术
微创性
外科干预
创伤递升式
Pancreatitis
acute necrotizing
Surgical procedures
minimally invasive
Surgical intervention
Step-up approach
作者简介
通信作者:孙备,Email:sunbei70@tom.com,电话:0451-85555721。
