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目的对胆道及胰腺手术后发生急性胰腺炎患者的各项临床特点进行分析。方法 150例行胆道及胰腺手术后发生急性胰腺炎患者作为研究对象,对其进行综合性治疗,并观察患者病症类型、手术类型以及时间间隔、转归等。结果本组患者均于术后出现急性胰腺炎,在病症类型上分为水肿型急性胰腺炎71例,急性坏死性胰腺炎79例。在手术类型方面,本组中62例患者接受胆囊切除术治疗,48例患者行腹腔镜胆囊切除术,40例患者行常规开腹胆囊切除术治疗。本组患者距离上次手术时间1~3年,平均时间(1.57±0.52)年。经对应治疗后,147例患者痊愈后出院,3例患者中途自行转院治疗,无死亡病例。结论胆道及胰腺手术后发生急性胰腺炎在临床较为少见,在治疗中需要结合致病因素实施综合性治疗,确保治疗效果。
Objective To analyze the clinical features of patients with acute pancreatitis after biliary and pancreatic surgery. Methods A total of 150 patients with acute pancreatitis who underwent biliary and pancreatic surgery were enrolled in this study. The patients were treated comprehensively, and the type of disease, type of surgery, time interval and outcome were observed. Results This group of patients with acute pancreatitis after surgery, the type of illness is divided into edematous acute pancreatitis in 71 cases, 79 cases of acute necrotizing pancreatitis. In the type of surgery, 62 patients in this group received cholecystectomy, 48 patients underwent laparoscopic cholecystectomy, and 40 patients underwent conventional open cholecystectomy. The patients from the last operation time of 1 to 3 years, the average time (1.57 ± 0.52) years. After the corresponding treatment, 147 patients were discharged after being cured, and 3 patients were transferred to hospital halfway without any deaths. Conclusions Acute pancreatitis after biliary and pancreatic surgery is relatively rare in clinical practice. It is necessary to combine comprehensive treatment with pathogenic factors to ensure the therapeutic effect.