重庆医学2017，Vol.46Issue(32)：4497-4499,4504,4.DOI:10.3969/j.issn.1671-8348.2017.32.009
腹腔镜手术与十二指肠镜手术早期治疗胆源性重症急性胰腺炎疗效分析
Clinical effects of laparoscopic therapy and duodenoscopic therapy in the treatment of biliary severe acute pancreatitis
摘要
Abstract
Objective To discuss the clinical effects of laparoscopic therapy and duodenoscopic therapy in the treatment of biliary severe acute pancreatitis.Methods A total of 140 patients with biliary severe acute pancreatitis(BSAP) in our hospital was assigned into laparoscopic therapy group(60 cases) and duodenoscopic therapy group(80 cases) according to the treatment plan,and indicators in both groups were compared,including acute physiology and chronic health evaluation(APACHE Ⅱ score),WBC,CRP,the operation time,intraoperative blood loss,hospitalization time,hospitalization fee,complication rate,cure rate,mortality rate,abdominal pain disappearing time,body temperature recovered to normal time,blood amylase recovered to normal time,amino acid transaminase(ALT) recovered to normal time,total bilirubin(TBIL) recovered to normal time,alkaline phosphatase(ALP) recovered to normal time.Results APACHE Ⅱ scores and the levels of WBC,TBIL,ALT and CRP in both groups were significantly decreased after surgery(P＜0.05),but there were no statistical differences between the two groups at the same time point after treatment(P＞0.05).The operative time and the intraoperative blood loss in the duodenoscopic therapy group were significantly less than those in laparoscopic therapy group(P＜0.05).There were no statistical differences between the two groups of hospitalization time,complication rate,cure rate,mortality rate,abdominal pain disappearing time,temperature returned to normal time,blood amylase recovered to normal time,ALT recovered to normal time,TBIL recovered to normal time,ALP recovered to normal time(P＞0.05).Conclusion In early stage,both laparoscopic therapy and duodenoscopic therapy can treat BSAP effectively,and their therapeutic effects are nearly similar.关键词
胆源性重症急性胰腺炎/腹腔镜/十二指肠镜Key words
biliary severe acute pancreatitis/laparoscope/duodenoscope分类
医药卫生引用本文复制引用
王桂良,邱萍,徐林芳,韩明,文萍,龚敏,文剑波..腹腔镜手术与十二指肠镜手术早期治疗胆源性重症急性胰腺炎疗效分析[J].重庆医学,2017,46(32):4497-4499,4504,4.基金项目
国家自然科学基金资助项目(81360080). （81360080）
