临床研究(Clinical Research)

内镜联合腹腔镜治疗重症急性胰腺炎并发胰腺假性囊肿的临床疗效观察

Published at: 2015年第24卷第3期

李成军 1 , 李金骁 2
1 山东省医学科学院附属医院 普通外科,山东 济南 250031
2 山东大学齐鲁儿童医院 影像科,山东 济南 250001
通讯作者 成军 李 Email: lichengjun19629@163.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.03.016
基金:

摘要

目的:探讨内镜联合腹腔镜治疗重症急性炎(SAP)并发胰腺假性囊肿(PPC)的临床疗效。 方法:选取2012 年6 月—2014 年3 月在手术治疗的52 例SAP 并发PPC 患者临床资料,其中31 例行 内镜联合腹腔镜手术治疗(内镜- 腹腔镜组),21 例行采用开腹手术治疗(开腹组)。比较两组患者 术中治疗情况、术后疗效、恢复及并发症发生的情况。 结果:内镜- 腹腔镜组手术时间、术中出血量、术后排气时间及术后住院时间均明显少于开腹组(均 P<0.05);两组治疗有效率和术后并发症发生率差异无统计学意义(均P>0.05);内镜- 腹腔镜组术 后疼痛、恶心、呕吐发生率均明显低于开腹组(均P<0.05)。随访半年后,两组患者均无PPC 复发。 结论:采用内镜联合腹腔镜治疗SAP 并发PPC,疗效显著,安全性好,可根据患者具体情况形成个体 化治疗策略,值得临床应用。


Clinical efficacy of endoscopic plus laparoscopic treatment for severe acute pancreatitis complicated with pancreatic pseudocyst

Abstract

Objective: To investigate the clinical efficacy of endoscopic plus laparoscopic treatment for severe acute pancreatitis (SAP) complicated by pancreatic pseudocyst (PPC). Methods: The clinical data of 52 patients with SAP and PPC undergoing surgical treatment from June 2012 to March 2014 were collected. Of the patients, 31 cases underwent endoscopic plus laparoscopic treatment (endoscopic-laparoscopic group), and 21 cases were subjected to open surgery (open surgery group). The intraoperative conditions, postoperative outcome and recovery as well as incidence of complications were compared between the two groups. Results: In endoscopic-laparoscopic group, the operative time, intraoperative blood loss, time to first flatus and length of postoperative hospital stay were significantly decreased compared with open surgery group (all P<0.05). There was on statistical difference in treatment efficacy rate and incidence of postoperative complications between the two groups (both P>0.05). The incidences of postoperative pain, nausea and vomiting in endoscopiclaparoscopic group were significantly lower than those in open surgery group (all P<0.05). Postoperative followup was conducted for 6 months, and no PPC recurrence was noted in any of the two groups. Conclusion: Endoscopic plus laparoscopic procedure has remarkable efficacy and better safety in treatment of SAP with PPC, and individualized treatment strategies can be formulated according to the specific condition of patients. So it is recommended to be used in clinical practice.


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引用

引用本文: 成军 李, 金骁 李. 内镜联合腹腔镜治疗重症急性胰腺炎并发胰腺假性囊肿的临床疗效观察[J]. 中国普通外科杂志, 2015, 24(3): 389–392.
Cite this article as: LI Chengjun, LI Jinxiao . Clinical efficacy of endoscopic plus laparoscopic treatment for severe acute pancreatitis complicated with pancreatic pseudocyst [J]. Chin J Gen Surg, 2015, 24(3): 389–392.