Clinical Analysis Of Therapeutic Effect Of Different Therapies For Acute Biliary Pancreatitis

Objective To summarize different therapies for acute biliarypancreatitis and analysis the best treatment with principle of statistics.Methods The clinica1data of116patients treated from2006～2011were retrospectively analyzed. The different treatment outcome wereretrospectively analyzed and summarized. According to the classifiedstandardization assigned by department of pancreatic surgery of ChineseMedical Association, ABP was divided four class: mild andan-obstruction form, mild and obstruction form, severe and an-obstructionform, severe and obstruction form.The therapies for acute biliary pancreatitis can contain expectanttreatment and operation. The operation contain surgery(LC,CHC,ECBDand so on)and therapeutic endoscopy(ERCP,EST,ENBD and so on).Nowthere are many dispute about the choice of therapies and juncture ininternal and overseas. According to the diagnostic code of ABPestablished by Chinese Medical Association we choose149patientstreated in our hospital. The ABP was divided obstruction form(18patients)and an-obstruction form(98patients) according to the disease existedobstruction of biliary tract or not. For the obstruction form, the patientscan be divided therapeutic endoscopy form(10patients) and surgerytreatment form(8patients) according to the different methode to relieveobstruction. And then we can contrast two treatment protocols andanalyze the marker from prior treatment to post treatment, for example the catabatic time of the abdominal pain, the recuperative time ofhemodiastase and urinary amylase, the recuperative condition of liveraction, the recuperative condition of jaundice, length of stay, complication,the change of APACHE Ⅱ score. For the an obstruction form, the patientscan be divided expectant treatment form(61patients) and surgerytreatment form(37patients). And then we can contrast two treatmentprotocols and analyze the marker from prior treatment to post treatment,for example the catabatic time of the abdominal pain, the recuperativetime of hemodiastase and urinary amylase, length of stay, complication,the change of APACHE Ⅱ score.Results We collect the statistical data and take t test and chi squaretest using statistical analysis software SPSS13.0. To the patients who werean-obstruction form, to contrast the marker of expectant treatment formand surgery treatment form, the treatment effectiveness had notstatistically significant(P>0.05). To the patients who were obstructionform, to contrast the marker of therapeutic endoscopy form and surgerytreatment form, he treatment effectiveness had statistical significance, theformer surpass the latter(P<0.05).Conclusion The must choose advisable treatment protocols according tothe typing. To the ABP which is an-obstruction form, we can take expectanttreatment. When the pathogenetic condition is sable(about2～4months) wecan take surgery to relieve the cause of disease to cause ABP, for example LC.To the ABP which is obstruction form, therapeutic endoscopy has obviouslyadvantage, for example minor trauma and distress, swift recovery. It hadalready been the prefer treatment protocols to relieve obstruction ofbiliary tract and cure ABP.