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经腹腔镜灌洗引流治疗早期重症急性胰腺炎的体会
http://www.100md.com 《腹腔镜外科杂志》 2005年第6期
腹腔镜,,胰腺炎,急性坏死性;腹腔镜;引流术,1资料与方法,2结果,3讨论,参考文献:
     【摘要】目的:探讨重症急性胰腺炎(SAP)早期腹腔镜治疗的效果。方法:2001年1月至2005年1月收治SAP 15例。试用腹腔镜灌洗引流疗法治疗并观察疗效。结果:SAP的急性反应期腹腔粘连轻,腹腔积液未局限,腹腔镜引流术快捷,患者创伤小、术后康复快。结论:SAP腹腔镜手术的效果与合理手术方式、胰腺组织坏死的程度及胰管系统损伤情况密切相关,应遵循个体化原则,在熟练掌握腹腔镜操作技能的前提下开展SAP的腹腔镜手术治疗,是安全有效的。

    【关键词】胰腺炎,急性坏死性;腹腔镜;引流术

    To summarize the experiences of laparoscopic lavage treatment in earlyphase of severe acute pancreatits severe acute pancreatits(SAP)

    HU Song,DAI Jin,HU Fang,et al.

    Department of General Surgery,Third People's Hospital of Jingzhou City,Jingzhou 434001,China

    【Abstract】 Objective:To investigate the effective treatment of laparoscopic lavage in earlyphase severe acute pancreatits(SAP).Methods:Laparoscopy for the treatment of 15 patients with earlyphase SAP was performed during Jan 2001 to Jan 2005,and the effect of treatment was observed.Results:patients with acute reaction phase of SAP in which adhesion was minimal and peritoneal effusion was not localized,laparoscopic surgery was accomplished quickly with less trauma and followed by prompt recovery.Conclusions:The effect of laparoscopic procedures relates to the rational choice of surgery,the degrees of necrosis in pancreas tissues and the damage of the pancreatic duct system.The treatment of SAP should be individualized.This procedure can be safety and effectively performed by the surgeons with rich experiences with minimally invasive surgery. ......

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