腹腔镜腹腔置管灌洗引流治疗重症急性胰腺炎87例

发布时间：2018-08-19 10:48

【摘要】：目的:探讨腹腔镜下腹腔置管灌洗引流治疗重症急性胰腺炎(SAP)的临床疗效。方法:收集2009年1月至2014年5月的87例SAP患者资料,包括腹腔镜腹腔灌洗(LPLD)组46例和内科综合治疗组(非LPLD组)41例。LPLD组于发病1~2周内进行LPLD,余同非LPLD组治疗。分析比较两组患者的住院时间和ICU治疗时间,以及治愈率、并发症发生率和住院死亡率。结果:LPLD组住院时间、ICU治疗时间均少于非LPLD组,LPLD组的治愈率优于非LPLD组,差异均有统计学意义(P0.05);两组并发症发生率比较,脓毒血症发生率差异有统计学意义(P0.05),余差异均无统计学意义(P0.05);两组住院病死率比较,差异无统计学意义(P0.05)。结论:腹腔镜灌洗治疗SAP短期获益更显著,是治疗SAP行之有效的手段,值得临床推广。
[Abstract]:Objective: to investigate the clinical effect of laparoscopic peritoneal lavage and drainage in the treatment of severe acute pancreatitis (SAP). Methods: from January 2009 to May 2014, 87 patients with SAP were collected, including 46 cases of laparoscopic peritoneal lavage (LPLD) group and 41 cases of non-LPLD group (non-LPLD group). The patients in LPLD group were treated with LPLD within 1 week after the onset of the disease, and the rest were treated with non-LPLD group. The hospitalization time and ICU treatment time, cure rate, complication rate and hospital mortality were analyzed and compared between the two groups. Results the cure rate of LPLD group was significantly better than that of non-LPLD group (P0.05), the complication rate of two groups was higher than that of non-LPLD group (P0.05). The incidence of sepsis was significantly different (P0.05), the remaining differences were not statistically significant (P0.05); there was no significant difference between the two groups in hospital mortality (P0.05). Conclusion: Laparoscopic lavage is an effective method in the treatment of SAP, and it is worth popularizing.
【作者单位】：南宁市第一人民医院;南方医科大学珠江医院;
【基金】：广东省自然科学基金(编号:2014A030310393) 南宁市普通外科腔镜微创中心建设(编号:20153012)
【分类号】：R657.51

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