CAJ | 학술논문

目的探讨急性胆源性胰腺炎手术治疗的时机和方法.方法回顾性分析北京市延庆县医院普外科2008年6月-2014年10月诊治的85例急性胆源性胰腺炎患者的临床资料.结果 85例患者发病1周内急诊手术治疗,62例完成腹腔镜下胆囊切除术经胆囊管胆道探查术,余行腹腔镜下或开腹胆囊切除术及或胆总管切开胆道探查术.54例发现胆管结石并取石.所有患者术后无感染、胆瘘、出血、胆道损伤,无乳头瘢痕狭窄.术后3个月随访无胆道残余结石和胰腺炎复发.结论急性胆源性胰腺炎早期手术治疗是必要、安全和可行的.积极地胆道探查可避免胆管残余结石.
목적 탐토급성담원성이선염수술치료적시궤화방법.방법 회고성분석북경시연경현의원보외과2008년6월-2014년10월진치적85례급성담원성이선염환자적림상자료.결과 85례환자발병1주내급진수술치료,62례완성복강경하담낭절제술경담낭관담도탐사술,여행복강경하혹개복담낭절제술급혹담총관절개담도탐사술.54례발현담관결석병취석.소유환자술후무감염、담루、출혈、담도손상,무유두반흔협착.술후3개월수방무담도잔여결석화이선염복발.결론 급성담원성이선염조기수술치료시필요、안전화가행적.적겁지담도탐사가피면담관잔여결석.
Objective To investigate the opportunity and methods of acute biliary pancreatitis.Methods A retrospective review was performed in 85 consecutive patients from June 2008 to October 2014 with acute biliary pancreatitis in Beijing Yanqing County Hospital.Results Eighty-five patients were performed operation.Sisty-two patients underwent laparoscopic cholecystectomy and laparoscopic transcystic common bile duct exploration.Fifyfourcases were found biliary calculi and take away the stones.All patients were no complications such as infection,bile leakage,hemorrhage,bile duct injury,cicatrical stenosis of papilla.After three months of follow-up without biliary residual bile stones and recurrent pancreatitis.Conclusions The early surgical treatment for no severe acute biliary pancreatitis is necessary,safe and feasible.Actively biliary tract exploration can avoid bile duct residual stones.