首页|期刊导航|中外医学研究|早期腹腔镜胆囊切除术治疗胆源性胰腺炎的临床效果分析

早期腹腔镜胆囊切除术治疗胆源性胰腺炎的临床效果分析OA

Clinical Analysis of Early Laparoscopic Cholecystectomy for the Treatment of Biliary Pancreatitis

中文摘要英文摘要

目的:探究和分析早期腹腔镜胆囊切除术治疗胆源性胰腺炎的临床效果.方法:选取 2024 年 1-12 月贵州医科大学附属白云医院收治的 80 例胆源性胰腺炎患者作为研究对象,根据腹腔镜胆囊切除术治疗时机的不同将其分为早期治疗组(发病后72 h 内行腹腔镜胆囊切除术治疗)和延迟治疗组(保守治疗有效 12 周后行腹腔镜胆囊切除术治疗),每组各 40 例.比较两组术后并发症发生率、血淀粉酶恢复正常时间、尿淀粉酶恢复正常时间及术后住院时间.结果:早期治疗组术后并发症发生率低于延迟治疗组;早期治疗组血淀粉酶恢复正常时间、尿淀粉酶恢复正常时间、术后住院时间均短于延迟治疗组,上述差异均有统计学意义(P<0.05).结论:早期腹腔镜胆囊切除术治疗胆源性胰腺炎的临床效果明显,不仅能降低患者术后并发症发生率,还能缩短其预后周期.

Objective:To explore and analyze the clinical efficacy of early laparoscopic cholecystectomy in the treatment of biliary pancreatitis.Method:Eighty patients with biliary pancreatitis admitted to the Affiliated Baiyun Hospital of Guizhou Medical University from January 2024 to December 2024 were selected as the research subjects.According to the different timing of laparoscopic cholecystectomy treatment,they were divided into an early treatment group(treated with laparoscopic cholecystectomy within 72 hours after onset)and a delayed treatment group(treated with laparoscopic cholecystectomy after 12 weeks of effective conservative treatment),with 40 cases in each group.The incidence of postoperative complications,the time for blood amylase to return to normal,the time for urine amylase to return to normal,and the postoperative hospital stay were compared between the two groups.Result:The incidence of postoperative complications in the early treatment group was lower than that in the delayed treatment group.The early treatment group had a shorter time for blood amylase to return to normal,urine amylase to return to normal,and postoperative hospitalization compared to the delayed treatment group.The differences between the two groups were statistically significant(P<0.05).Conclusion:Early laparoscopic cholecystectomy has significant clinical effects in treating biliary pancreatitis,not only reducing the incidence of postoperative complications in patients,but also shortening their prognosis period.

姚茂求

贵州医科大学附属白云医院 贵州 贵阳 550014

早期腹腔镜胆囊切除术胆源性胰腺炎血淀粉酶尿淀粉酶

Early laparoscopic cholecystectomyGallstone pancreatitisBlood amylaseUrinary amylase

《中外医学研究》 2026 (21)

35-37,3

10.14033/j.cnki.cfmr.2026.21.006

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