CAJ | 학술논문

目的：分析探讨微创治疗150例急性胆源性胰腺炎的临床疗效。方法回顾性分析我院于2012年3月至2013年3月收治的150例急性胆源性胰腺炎患者的临床资料，随机分为对照组和治疗组，各组75例，对照组采用常规治疗，治疗组采用内镜微创治疗，比较两组的临床疗效。结果治疗组的腹部疼痛缓解时间、住院时间、白细胞恢复时间及肝功能恢复时间明显优于对照组，两组比较差异有统计学意义（P＜0．05）；治疗组的并发生发生率及病死率明显低于对照组，两组并发症发生率比较差异有统计学意义（P＜0．05），病死率比较差异无统计学意义（P＜0．05）。结论内镜微创治疗急性胆源性胰腺炎的临床疗效显著，并发症少，可控制病情进展，值得临床推广应用。
목적：분석탐토미창치료150례급성담원성이선염적림상료효。방법회고성분석아원우2012년3월지2013년3월수치적150례급성담원성이선염환자적림상자료，수궤분위대조조화치료조，각조75례，대조조채용상규치료，치료조채용내경미창치료，비교량조적림상료효。결과치료조적복부동통완해시간、주원시간、백세포회복시간급간공능회복시간명현우우대조조，량조비교차이유통계학의의（P＜0．05）；치료조적병발생발생솔급병사솔명현저우대조조，량조병발증발생솔비교차이유통계학의의（P＜0．05），병사솔비교차이무통계학의의（P＜0．05）。결론내경미창치료급성담원성이선염적림상료효현저，병발증소，가공제병정진전，치득림상추엄응용。
Objective To investigate the clinical curative effect analysis of minimally invasive treatment of 150 cases of acute biliary pancreatitis.Methods To review the clinical data of 150 cases of patients with acute biliary pancreatitis analysis in our hospital in 2012 March ~2013 year in March were, were randomly divided into treatment group and control group, each group 75 cases, control group with conventional therapy, the treatment group with minimally invasive endoscopic treatment, the clinical efficacy of the two groups was compared.Results In treatment group, the abdominal pain relief time, hospitalization time, white blood cell recovery time and liver function recovery time was significantly better than the control group, there was significant difference between two groups ( P<0.05 ); the treatment group and the incidence rate and mortality rate was lower than the control group, the two groups have statistical significance comparing the rate of complication differences (P<0.05), the mortality rate have no significant difference (P<0.05).Conclusions The clinical efficacy of endoscopic minimally invasive treatment of acute biliary pancreatitis significantly, less complications, and can control the progress of the disease, it is worthy of clinical application.