CAJ | 학술논문

目的：分析重症胰腺炎（SAP）手术患者的手术指征与术式选择，以便为临床诊治提供借鉴。方法：选取我院2007年1月至2013年5月接诊的SAP患者47例作为研究对象，回顾性分析他们的临床资料，皆采取手术治疗，总结手术指征及术式选择情况。结果：47例患者中有46例患者经过手术治疗后痊愈出院，这些患者皆为发病后48小时内住院手术，剩余1例患者因发病5天才入院手术，术后并发多脏器功能衰竭而死亡，治愈率97.8%；47例患者中，仅有2例患者并发胰漏，但皆采取非手术治疗后3个月内治愈；住院时间16~70天，均值27.89±2.45天。结论：对于重症胰腺炎患者，不论发病时间长短，若其符合手术指征时则应尽早手术，才能提高治愈率，降低死亡率，从而提高患者生存质量。
목적：분석중증이선염（SAP）수술환자적수술지정여술식선택，이편위림상진치제공차감。방법：선취아원2007년1월지2013년5월접진적SAP환자47례작위연구대상，회고성분석타문적림상자료，개채취수술치료，총결수술지정급술식선택정황。결과：47례환자중유46례환자경과수술치료후전유출원，저사환자개위발병후48소시내주원수술，잉여1례환자인발병5천재입원수술，술후병발다장기공능쇠갈이사망，치유솔97.8%；47례환자중，부유2례환자병발이루，단개채취비수술치료후3개월내치유；주원시간16~70천，균치27.89±2.45천。결론：대우중증이선염환자，불론발병시간장단，약기부합수술지정시칙응진조수술，재능제고치유솔，강저사망솔，종이제고환자생존질량。
Objective:Analysis of severe acute pancreatitis (SAP) operation in patients with operation indications and operation, in order to provide reference for clinical diagnosis and treatment. Methods:In our hospital from 2011 January to 2013 May were 47 cases of SAP patients as the research object, a retrospective analysis of clinical data of them, al take operation therapy, summarizes the operation indication and selection of operation condition. Results:47 patients in 46 patients after operation treated and discharged, these patients were within 48 hours of onset in operation, the remaining 1 patients because of the incidence of 5 days after operation, postoperative multiple organ failure and death, the cure rate was 97.8%;in 47 patients, only 2 patients pancreatic leakage, but al take the cure within 3 months of non operation treatment;the length of time the 16~70 days, mean 27.89 ± 2.45 days. Conclusion:For the patients with severe acute pancreatitis, regardless of the length of time of onset, if the operation indication, operation as soon as possible, in order to improve the cure rate, decrease the mortality, and improve the patients quality of life.