本文選題：急性膽源性胰腺炎 + 無(wú)梗阻��； 參考：《山西醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的:分析比較無(wú)明顯梗阻的急性膽源性胰腺炎采取不同治療方法的效果。方法:采取回顧并分析的方法,對(duì)于我從2009年9月-2014年6月就診于我院的28位無(wú)明顯梗阻的急性膽源性胰腺炎患者的臨床資料,經(jīng)胰腺炎治療并恢復(fù)后采取兩種不同治療方案后的治療效果進(jìn)行對(duì)比研究。結(jié)果:患者經(jīng)臨床確診為急性膽源性胰腺炎后,首先給予急性膽源性胰腺炎的保守治療,并行磁共振胰膽管成像(MRCP)明確此患者是否有結(jié)石梗阻。選取經(jīng)MRCP檢查未發(fā)現(xiàn)膽總管結(jié)石梗阻的28例患者。經(jīng)保守治療至其急性膽源性胰腺炎恢復(fù)后,此28例患者中的11例(組1)行腹腔鏡膽囊切除術(shù)(Laparoscopic Cholecystectomy,LC),17例(組2)行內(nèi)鏡逆行膽胰管造影(ERCP)、十二指腸乳頭括約肌切開(kāi)(EST)取石及鼻膽管引流(ENBD)保留膽囊治療。組1患者,胰腺炎復(fù)發(fā)1人其余恢復(fù)良好。組2患者胰腺炎復(fù)發(fā)者3人,9人出現(xiàn)不同程度黃疸及肝膽區(qū)疼痛,6人二次手術(shù)摘除膽囊。結(jié)論:無(wú)明顯梗阻的急性膽源性胰腺炎患者中,經(jīng)胰腺炎治療并恢復(fù)后行預(yù)防性膽囊切除術(shù)的患者,其胰腺炎的復(fù)發(fā)率及并發(fā)癥的發(fā)生率有明顯降低,其治療效果較保留膽囊組的患者較好。
[Abstract]:Objective: to compare the effects of different treatments for acute biliary pancreatitis without obvious obstruction. Methods: the clinical data of 28 patients with acute biliary pancreatitis without obvious obstruction from September 2009 to June 2014 were reviewed and analyzed. The therapeutic effects of two different treatment regimens after treatment and recovery of pancreatitis were compared. Results: after clinical diagnosis of acute biliary pancreatitis, the patient was given conservative treatment of acute biliary pancreatitis, and MRCP was used to determine whether the patient had stone obstruction. Twenty-eight patients with common bile duct stone obstruction were selected by MRCP. After conservative treatment until the recovery of acute biliary pancreatitis, Of the 28 patients, 11 (group 1) underwent laparoscopic cholecystectomy (LC) and 17 (group 2) underwent endoscopic retrograde cholangiopancreatography (ERCP), endoscopic sphincterotomy (EST) and cholecystectomy (ENBD). In group 1, pancreatitis recurred and others recovered well. In group 2, 3 patients with recurrent pancreatitis and 9 patients with varying degrees of jaundice and pain in hepatobiliary area were removed gallbladder by secondary operation. Conclusion: among the patients with acute biliary pancreatitis without obvious obstruction, the recurrence rate of pancreatitis and the incidence of complications were significantly decreased in the patients treated with pancreatitis and recovered after cholecystectomy. The therapeutic effect was better than that in the group of gallbladder preservation.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R657.51

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相關(guān)期刊論文 前2條

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本文編號(hào)：2064951