CAJ | 학술논문

目的：探讨重症急性胰腺炎发生胰腺坏死并感染患者行腹膜后入路手术的效果。方法随机选取该院2004年1月—2014年12月间收治的120例重症急性胰腺炎并发胰腺坏死并感染患者，按手术方案分为对照组（60例，经腹部切口入路）和观察组（60例，经腹膜后切口入路），比较两组手术相关指标及并发症情况。结果观察组手术时间、住院时间均短于对照组，并发症发生率更低，差异有统计学意义（P<0.05），两组死亡率差异无统计学意义（P>0.05）。结论腹膜后入路手术治疗重症急性胰腺炎发生胰腺坏死并感染可有效降低并发症发生率，值得推广应用。
목적：탐토중증급성이선염발생이선배사병감염환자행복막후입로수술적효과。방법수궤선취해원2004년1월—2014년12월간수치적120례중증급성이선염병발이선배사병감염환자，안수술방안분위대조조（60례，경복부절구입로）화관찰조（60례，경복막후절구입로），비교량조수술상관지표급병발증정황。결과관찰조수술시간、주원시간균단우대조조，병발증발생솔경저，차이유통계학의의（P<0.05），량조사망솔차이무통계학의의（P>0.05）。결론복막후입로수술치료중증급성이선염발생이선배사병감염가유효강저병발증발생솔，치득추엄응용。
Objective To investigate the effect of Retroperitoneal surgery for severe acute pancreatitis occurred pancreatic necrosis and infection.Methods 120 cases of severe acute pancreatitis complicated with pancreatic necrosis and infection patients from January 2004 to December 2014 in our hospital, were divided into control group (60cases, abdominal incision) and observation group (60 cases, the incision retroperitoneal), effect of the two groups were compared.Results In the observation group, operation time, hospitalization time were shorter than the control group, the incidence of complications was lower (P<0.05),No significant difference between the two groups in mortality(P>0.05).Conclusion The approach of operation in treatment of severe acute pancreatitis occurred pancreatic necrosis and infection can effectively reduce the incidence of complications of retroperitoneal, and is worthy of popularization and application.