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中华肝脏外科手术学电子杂志 ›› 2024, Vol. 13 ›› Issue (04) : 450 -455. doi: 10.3877/cma.j.issn.2095-3232.2024.04.002

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坏死性胰腺炎相关并发症外科干预策略
于泽1, 隋宇航1, 孙备1,()   
  1. 1. 150001 哈尔滨医科大学附属第一医院胰胆外科 肝脾外科教育部重点实验室
  • 收稿日期:2024-02-27 出版日期:2024-08-10
  • 通信作者: 孙备
  • 基金资助:
    国家自然科学基金(82270665,82070658); 黑龙江省自然科学基金团队项目(TD2021H001)

Surgical interventions for necrotizing pancreatitis-related complications

Ze Yu1, Yuhang Sui1, Bei Sun1,()   

  1. 1. Department of Hepatobiliary Surgery, Key Laboratory of Liver and Spleen Surgery of the Ministry of Education, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
  • Received:2024-02-27 Published:2024-08-10
  • Corresponding author: Bei Sun
引用本文:

于泽, 隋宇航, 孙备. 坏死性胰腺炎相关并发症外科干预策略[J]. 中华肝脏外科手术学电子杂志, 2024, 13(04): 450-455.

Ze Yu, Yuhang Sui, Bei Sun. Surgical interventions for necrotizing pancreatitis-related complications[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(04): 450-455.

坏死性胰腺炎(NP)因病程中发生相关并发症而致病情复杂多变、处理困难棘手。外科医师身为MDT团队中的关键角色,如何恰当选择干预的指征及时机,从而避免患者干预不足或干预过度成为临床治疗中的重点和难点。除此之外,在胰腺炎多元化干预模式的背景下,临床医师如何依据患者病情发展特点为其选择具有个体化、专业化的治疗方案,并有效控制副损伤、提高患者整体治愈率也是当今NP治疗的重中之重。笔者结合临床实践,就NP相关并发症的外科干预策略进行探讨,旨在进一步改善该类患者的临床预后。

Necrotizing pancreatitis (NP) is a complicated and challenging condition due to the incidence of NP-related complications over the course of disease. As a key role of MDT team, how to properly select the indications and timing of interventions, thereby avoiding insufficient or excessive interventions for patients, has become the key and challenging task in clinical treatment for surgeons. In addition, under the background of diversified intervention models for pancreatitis, how to choose individualized and professional treatment regimens according to the disease progression characteristics of patients, effectively control secondary injury and improve the overall cure rate are also the top priorities of existing treatment for NP. In this article, surgical interventions for NP-related complications were illustrated combined with clinical practice, aiming to improve clinical prognosis of these patients.

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