本文選題：重癥急性胰腺炎 + 胰腺壞死組織清除術(shù)��； 參考：《中國(guó)老年學(xué)雜志》2017年19期

【摘要】：目的對(duì)比觀察經(jīng)腹膜后入路腹腔鏡下胰腺壞死組織清除術(shù)治療老年重癥急性胰腺炎的方法及臨床效果。方法老年重癥急性胰腺炎患者中22例經(jīng)腹膜后入路腹腔鏡下胰腺壞死組織清除術(shù)治療為觀察組,30例開(kāi)腹胰腺壞死組織清除術(shù)治療為對(duì)照組,觀察分析兩組一般資料、手術(shù)治療方法、臨床結(jié)局和并發(fā)癥發(fā)生情況。結(jié)果兩組手術(shù)均順利完成,無(wú)術(shù)中死亡病例,觀察組手術(shù)時(shí)間明顯短于對(duì)照組,術(shù)中出血明顯少于對(duì)照組,手術(shù)切口總長(zhǎng)度明顯短于對(duì)照組(均P0.05)。觀察組在術(shù)后單器官衰竭、新發(fā)消化道瘺、切口疝、切口感染等并發(fā)癥總發(fā)生率(22.7%)明顯低于對(duì)照組(66.7%,χ~2=9.816,P0.05);觀察組死亡率(13.6%)低于對(duì)照組(20.0%),但無(wú)統(tǒng)計(jì)學(xué)差異(χ~2=0.359,P0.05);觀察組住院時(shí)間及住院費(fèi)用明顯低于對(duì)照組(P0.05)。結(jié)論后腹腔鏡胰腺壞死組織清除術(shù)治療老年重癥急性胰腺炎效果顯著,操作簡(jiǎn)單,術(shù)后并發(fā)癥少,能夠有效降低患者術(shù)后死亡率,患者住院時(shí)間短,花費(fèi)低。
[Abstract]:Objective to observe the methods and clinical effects of retroperitoneal laparoscopic pancreatic necrotizing tissue removal in elderly patients with severe acute pancreatitis. Methods 22 elderly patients with severe acute pancreatitis were treated by retroperitoneal laparoscopic pancreatic necrotic tissue clearance. 30 cases of open abdominal pancreatic necrotic tissue removal were treated as control group. The general data of the two groups were observed and analyzed. Surgical treatment, clinical outcome and complications. Results the operation time of the observation group was shorter than that of the control group, the intraoperative bleeding was obviously less than that of the control group, and the total length of the operative incision was significantly shorter than that of the control group (all P 0.05). In the observation group, single organ failure, new gastrointestinal fistula and incisional hernia were observed after operation. The total incidence of complications such as incision infection was significantly lower than that of the control group (66.7%, 蠂 ~ 2 + 9.816) P 0.05, and the mortality rate of the observation group (13.6%) was lower than that of the control group (20.0%), but there was no statistical difference (蠂 ~ (2 + 2) 0.359 (P 0.05), the length of stay and the cost of hospitalization in the observation group were significantly lower than those in the control group (P 0.05). Conclusion Laparoscopic excision of pancreatic necrotic tissue in elderly patients with severe acute pancreatitis is effective, simple in operation and less in postoperative complications. It can effectively reduce the postoperative mortality rate, reduce the hospitalization time and cost less.
【作者單位】： 昆明醫(yī)科大學(xué)第二附屬醫(yī)院甲狀腺乳腺外科;昆明醫(yī)科大學(xué)第二附屬醫(yī)院急診醫(yī)學(xué)部急診外科;
【分類號(hào)】：R657.51

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