To Analysis The Clinical Treatment Of 105 Cases For ABP

Objective To evaluate the choice of the treatment for acute biliary pancreatitisMethods 105 cases in our hospital from January 2005 to January 2008 were retrospectively analysed.All cases were divided into two types according to whether common bile duct stricture and then each was divided into two groups according to severity of acute panceatitis.Treatment approach of each group were divided into three groups:early surgery,delayed surgery and non-surgery.Result 1.Mild type:â‘ Non-obstructive mild type:There isn't death in three groups,only 1 complication in the non-surgery.â‘¡Obstructive mild type:There are 3 complications in the early surgery group and is none death,2 complications in the non-surgery group.2.Severe type:â‘ Non-obstructive severe type:There is one death and 3 complications in the early surgery group,there is no death and are 2 complications in the delayed surgery,there is one death and is no complication in the non-surgery group.â‘¡Obstructive severe type:There are 2 deaths,3 complications in the early surgery group,there is no death and is 1 complication in the delalyed surgery group,there is one death and is one complication in the non-surgery group.Conclusion 1.Mild type is treated mainly in non-surgery.If there is associated with obstruction,it should be treated conservatively first as well as obstruction was watched closely.If obstruction didn't be resolved,it should be resolved by operation after stressful period.if obstruction was resolved,the conservative treatment was to continue.2.Severe type was treated mainly by conservative treatment and delalyed surgery.The timing of surgery depends on the recovery condition of patients.If there is associated with obstruction,a short period of especially conservative treatment should be done.If patient's condition didn't improve,obstruction didn't resolve,early operation should be done,operation should be simplified and reduce damage,or EST was performed to resolve obstruction.3.The ABP of obstruction:a early surgery should be taken if it can be confirmed by B-US or CT that gallstones is as far as larger that can not be expulsed naturally,or there is a definitely gallstone neck incarceration,or distal bile commen duct with expansion is incarcerated by gallstones,and that who with obstructive cholangitis performance.The others should be taken with conservative treatment at first.