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目的探讨急性胆源性胰腺炎(acute biliary pancreatitis,ABP)的手术时机,降低术后病死率。方法对116例ABP患者的手术时机、治愈率、并发症的发生率及病死率等进行分析。结果发病72h内手术治疗11例,治愈2例,并发症5例,死亡4例;发病后72h至2周手术27例,治愈21例,并发症4例,死亡2例;发病2周至2月手术35例,治愈32例,并发症3例,无死亡。发病2月后手术43例,无并发症和死亡。经统计学分析,不同手术时间治愈率、并发症的发生率、病死率差异有统计学意义(P<0.01)。结论ABP的手术时机是影响手术后病死率的重要因素,应采用个体化治疗原则。
Objective To investigate the timing of surgery for acute biliary pancreatitis (ABP) and reduce the postoperative mortality. Methods The operation time, cure rate, complication rate and mortality of 116 patients with ABP were analyzed. Results During the 72 hours after operation, 11 cases were cured, 2 cases were cured, 5 cases were complicated and 4 cases died. 27 cases were cured 72 hours to 2 weeks after operation, 21 cases were cured, 4 cases were complicated and 2 cases died. The incidence was 2 weeks to 2 months Surgery in 35 cases, cured 32 cases, 3 cases of complications, no death. After the onset of surgery in February 43 cases, no complications and death. After statistical analysis, the cure rate at different operation time, the complication rate and the mortality rate had statistical significance (P <0.01). Conclusion The timing of operation of ABP is an important factor affecting the postoperative mortality. Individualized treatment should be adopted.