中国普通外科杂志

• 胆石症专题研究 • 上一篇    下一篇

胆石性胰腺炎的早期手术治疗

周蒙滔1,2, 张启瑜1,王春友2, 施红旗1, 周浩1, 曾其强1   

  1. (1.温州医学院附属第一医院 肝胆胰外科,浙江 温州 325000;2.华中科技大学同济医学院附属协和医院 胰腺外科中心,湖北 武汉 430022)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-02-25
  • 通讯作者: 张启瑜

The early operative treatment of gallstone pancreatitis

ZHOU Mengtao1,2, ZHANG Qiyu1, Wang Chunyou2, SHI Hongqi1, ZHOU Hao1, ZENG Qiqiang1   

  1. (1.Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, Wenzhou Medical College, Wenzhou, Zhejiang 325000, China; 2. Center of Pancreatic Surgery, The Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022,China)
  • Received:1900-01-01 Revised:1900-01-01 Online:2008-02-25

摘要: 目的: 探讨胆石性胰腺炎(GP)早期手术适应证及相应术式。
方法:回顾性分析136例采用早期手术治疗GP患者的临床资料。
结果:(1)梗阻性重型GP患者10例中8例采用早期手术治疗,全部治愈。(2)梗阻性轻型GP患者70例中57例采用早期手术治疗,全部治愈。(3)非梗阻性重型GP患者47例中13例采用单纯早期手术治疗,4例死于早期多脏器衰竭:另3例采用区域动脉灌注联合早期手术治愈。(4)非梗阻性轻型GP患者146例中采用早期手术55例,全部治愈。
结论:(1)梗阻性GP是早期手术的绝对适应证,胆道解压和胰周引流是其基本术式;(2)非梗阻性重型GP原则上不采用早期手术;(3)非梗阻性轻型GP可采用早期手术治疗。

关键词: 朱雄伟, 任峰, 刘春萍, 丁会民, 付言涛, 高德宗, 尹强, 章佳新, 郑泽霖, 张英豪, 陈润成, 管小青, 司宝宏, 郑泽霖, 陈刚亮, 周建平, 明洁, 秦锡虎, 孙辉, 孙靖中, 周小渔, 祝玉祥, 孙辉, 薄涛, 梁柳森, 吴建强, 王磊, 何晓明, 王强, 刘栋才, 石岚, 朱峰, 赵吉生, 李永刚, 肖雅玲, 邵稳喜, 盖宝东, 任义, 沈樑, 陈焰, 胡志前, 袁联文, 李治, 周新军, 郑泽霖, 邵立华, 王栋, 陈学云, 舒国顺, 黄韬, 吴宝强, 李进涛, 周家鹏

Abstract: Abstract:Objective:To investigate the indications and appropriate method of early operative treatment of gallstone pancreatitis(GP).
Methods :The clinical data of 136 cases of GP that underwent early operation were retrospectively analyzed.
Results:(1) Among 10 cases with severe obstructive GP, 8 cases underwent early operation, and all of them were cured. (2) Among 70 cases with mild obstructive GP, 57 cases underwent early operation, and all of those cases were cured. (3)In 47 cases with severe non-obstructive GP, 13 cases underwent simple early operation, and 4 of those cases died of early multiple organ failure, while 3 other cases treated by regional intra-arterial infusion combined with early operation were cured. (4)In 146 cases with mild non-obstructive GP, 55 cases underwent early operation, and all of those cases were cured.
Conclusions:(1)Obstructive GP is an absolute indication for early operation, and the basic operation is decompression of biliary tract obstruction and peri-pancreatic drainage. (2)In principle, cases of severe non-obstructive GP should not undergo early operation. (3)Early operation might be carried out in cases of mild non-obstructive GP.

Key words: ZHUXiongwei, RENFeng, LIUChunping, DINGHuimin, GAODezong, YINQiang, ZHANGJiaxin, CHENRuncheng, GUANXiaoqing, CHENGangliang, ZHOUJianping, MINGJie, QINXihu, SUNJingzhong, ZHOUXiaoyu, ZHUYuxiang, LIANGLiusen, WUJianqiang, WANGQiang, LIUDongcai, SHILan, ZHUFeng, LIYonggang, XIAOYaling, SHAOWenxi, SHENLiang, CHENYan

中图分类号: 

  • R 657.5
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