[急性胰腺炎外科干预策略的演变与进步]。

R Bai, T Q Lu, B Sun
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引用次数: 0

摘要

急性胰腺炎是外科常见急腹症之一。自十九世纪中叶人们首次认识到急性胰腺炎以来,至今已形成了多元化、规范化的微创治疗模式。按照急性胰腺炎外科干预治疗的主线,这一时期大致可分为五个阶段:探查阶段、保守治疗阶段、胰腺切除阶段、胰腺坏死组织清创引流阶段、多学科团队模式主导的首选微创治疗阶段。纵观历史,急性胰腺炎外科干预策略的演变和进步,离不开科学技术的进步、治疗理念的更新和对发病机制的进一步认识。本文将总结各阶段急性胰腺炎治疗的外科特点,阐述急性胰腺炎外科治疗的发展,以期对今后急性胰腺炎外科治疗的发展有所裨益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Evolution and progress of surgical intervention strategies for acute pancreatitis].

Acute pancreatitis is one of the common surgical acute abdominal diseases. Since people first recognized acute pancreatitis in the middle of the nineteenth century, a diversified minimally invasive treatment model with standardization has been formed today. According to the main line of surgical intervention of acute pancreatitis treatment,this period can be roughly divided into five stages:exploration stage, conservative treatment stage, pancreatectomy stage, debridement and drainage of the pancreatic necrotic tissue stage, and minimally invasive treatment as the first choice led by the multidisciplinary team mode stage. Throughout history, the evolution and progress of surgical intervention strategies for acute pancreatitis cannot be separated from the progress of science and technology, the update of treatment concepts and the further understanding of the pathogenesis. This article will summarize the surgical characteristics of acute pancreatitis treatment at each stage to explain the development of surgical treatment of acute pancreatitis,to help investigate the development of surgical treatment of acute pancreatitis in the future.

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