CAJ | 학술논문

目的探讨急性梗阻型胆源性胰腺炎(AOGP)外科治疗的有关问题.方法对65例梗阻型AGP患者的临床资料进行回顾性分析,轻症急性梗阻型胆源性胰腺炎(MAOGP)42例,保守治疗38例,急诊后期手术4例;重症急性梗阻性胆源性胰腺炎(SAOGP)23例,均行早期或急诊手术.结果本组病例痊愈64例, 1例因伴心脏病、糖尿病、多器官功能衰竭及腹腔感染术后2周内死亡.结论对伴有化脓性胆管炎的AOGP者早期宜行急诊手术,轻型梗阻性AGP早期积极非手术治疗,胰腺炎治愈后2～4周内择期手术治疗胆石病,可以降低复发率、并发症发生率和病死率.
목적 탐토급성경조형담원성이선염(AOGP)외과치료적유관문제.방법 대65례경조형AGP환자적림상자료진행회고성분석,경증급성경조형담원성이선염(MAOGP)42례,보수치료38례,급진후기수술4례;중증급성경조성담원성이선염(SAOGP)23례,균행조기혹급진수술.결과 본조병례전유64례, 1례인반심장병、당뇨병、다기관공능쇠갈급복강감염술후2주내사망.결론 대반유화농성담관염적AOGP자조기의행급진수술,경형경조성AGP조기적겁비수술치료,이선염치유후2～4주내택기수술치료담석병,가이강저복발솔、병발증발생솔화병사솔.
Objective To discuss the surgical treatment of acute obstructive gallstone pancreatitis (AOGP).Methods The clinial date of 65 patients with AOGP were analysed retrospectively. In 42 patients with mild acute obstructive gallstone pancreatitis (MAOGP), 38 patients received conservative therapy, 4 patients underwent delayed operation.All 23 patients with severe acute obstructive gallstone pancreatitis (SAOGP), underwent early or emergency surgery.Results Among 65 patients with AOGP, 64 patients were cured, 1 patients died of concomitant heart disease, diabetes, the multi-organ function failure and the abdominal cavity infection in 2 weeks after operation.Conclusion It is necessary to take the early emergency surgery for the patients with AOGP accompanied by the suppurative cholangitis and take the early positive non-surgery treatment for the patients with MAOGP;taking the selective operation for the patients with cholelithiasis in 2 to 4 weeks after the pancreatitis was cured, may reduce the recurrence rate, the occurrence complication and the case fatality rate.