CAJ | 학술논문

目的：探讨手术与非手术两种治疗方式在胆源性胰腺炎中的临床疗效和安全性。方法92例胆源性胰腺炎患者，依据适应证以及家属意愿分为手术组和非手术组，每组各46例。手术组患者接受手术治疗，非手术组患者采用常规综合治疗。比较2组患者的临床指标恢复情况以及并发症、死亡率。结果与非手术组相比，手术组患者体温恢复时间、腹痛恢复时间短，肝功能正常恢复时间和血尿淀粉酶降至正常时间短（均P＜0．001）；手术组患者术后复发率、并发症总发生率、死亡率明显低于非手术组（均P＜0．05）。结论胆源性胰腺炎早期行手术治疗可以明显缩短患者病程，提高治愈率，减少并发症发生；治疗需要遵循个体化原则，明确的诊断和合适的手术时机是提高疗效的保证。
목적：탐토수술여비수술량충치료방식재담원성이선염중적림상료효화안전성。방법92례담원성이선염환자，의거괄응증이급가속의원분위수술조화비수술조，매조각46례。수술조환자접수수술치료，비수술조환자채용상규종합치료。비교2조환자적림상지표회복정황이급병발증、사망솔。결과여비수술조상비，수술조환자체온회복시간、복통회복시간단，간공능정상회복시간화혈뇨정분매강지정상시간단（균P＜0．001）；수술조환자술후복발솔、병발증총발생솔、사망솔명현저우비수술조（균P＜0．05）。결론담원성이선염조기행수술치료가이명현축단환자병정，제고치유솔，감소병발증발생；치료수요준순개체화원칙，명학적진단화합괄적수술시궤시제고료효적보증。
Objective To explore the clinical efficacy and safety of surgical and non-surgical treatment for biliary pancreatitis.Methods According to the indications and family wishes,92 pa-tients with biliary pancreatitis were assigned to receive either surgical treatment(surgical group, n=46)or routine comprehensive treatment(non-surgical group,n=46).The recovery of clinical indicators,complications and mortality were compared between the two groups.Results The time to recovery of body temperature,abdominal pain,liver function and blood and urine amylase levels in surgical group was significantly shorter than that in non-surgical group(P<0.001).In addi-tion,the postoperative recurrence rate,total incidence of complications and mortality rate in surgi-cal group were significantly lower than those in non-surgical group(P<0.05).Conclusion Early surgery can shorten disease duration,improve cure rate and reduce complications in patients with biliary pancreatitis.Furthermore,the treatment of biliary pancreatitis should follow the principle of individualization,and definite diagnosis and appropriate surgical timing offer a guarantee to im-prove the curative efficacy.