CAJ | 학술논문

目的：探讨重症急性胰腺炎（SAP）Ⅰ、Ⅱ级的胰腺坏死特点及早期手术指征。方法：回顾分析我院1980年1月至2000年5月SAP182例的手术病理所见、临床表现、治疗方案和死亡原因。结果：SAPⅠ级中59.2％为胰腺局灶型坏死，其中有24.4％进展为广泛坏死，另40.8％为广泛坏死；SAPⅡ级100％为广泛坏死。广泛坏死在强化非手术治疗前提下适时早期手术能提高治愈率。结论：SAPⅡ级早期非手术治疗无效时应适时手术治疗。
목적：탐토중증급성이선염（SAP）Ⅰ、Ⅱ급적이선배사특점급조기수술지정。방법：회고분석아원1980년1월지2000년5월SAP182례적수술병리소견、림상표현、치료방안화사망원인。결과：SAPⅠ급중59.2％위이선국조형배사，기중유24.4％진전위엄범배사，령40.8％위엄범배사；SAPⅡ급100％위엄범배사。엄범배사재강화비수술치료전제하괄시조기수술능제고치유솔。결론：SAPⅡ급조기비수술치료무효시응괄시수술치료。
Objective To investigate pancreatic necrotic characteristies and early operation indication for grade Ⅰ and Ⅱ of severe acute pancreatitis（SAP）.Method We retrospectively analyze the pancreatic patholgic findings，clinical symproms，therapeutic methods and death causes of SAP from Jan.1980 to May 2000.Results In the early operation，the pancreatic sporadic focal necrosis was found in 59.2％of grade I of SAP，24.2％ among which later changed into the extensive fusional necrosis，the extensive fusional necrosis in 100％ of grade Ⅱ.Conclusion In the early course of SAP of grade Ⅱ，Operation should be considered as a therapeutic method if nonsurgical management is noneffective.