胰头肿块型慢性胰腺炎的诊治  

DIAGNOSIS AND TREATMENT OF CHRONIC PANCREATITIS WITH MASS IN THE HEAD OF THE PANCREAS

作　　者：乔安意[1] 于宝军[2] 

机构地区：[1]广州医学院第三附属医院,广州510150 [2]南京军区南京总医院解放军普通外科研究所

出　　处：《肝胆外科杂志》2007年第3期194-195,共2页Journal of Hepatobiliary Surgery

摘　　要：目的分析胰头肿块型慢性胰腺炎的临床特点,提高对胰头部肿块型胰腺炎诊断和鉴别诊断能力。方法对73例术前诊断为胰头或壶腹周围恶性肿瘤而作胰十二指肠切除术的临床、病理资料回顾性分析。结果术后病理检查共发现良性病变17例,其中慢性胰腺炎12例、胰腺囊腺瘤恶变1例、十二指肠乳头状腺瘤2例、胆总管下段炎性狭窄2例。良性病变占整个胰十二指肠切除术病例的23.3%。结论多种方法联合使用有助于正确诊断,术中穿刺活检作冰冻切片病理检查是鉴别良恶性病变的最有效方法;对于术前临床诊断为胰腺癌,术中无充分证据否定诊断的,我们主张行胰十二指肠切除术。Objective To improve diagnosis and differential diagnosis of chronic pancreatitis with mass in the head of the pancreas by analysing its characteristic. Methods 17 cases clincal date of 73 cases of pancreticeduedenectomy performed from 1995 to 2005 were retrospectively analyzed. Results Among the 73 cases, 17cases （23.3 % ） were benign of post-operative pathology,include chornic pancreastitis 12 cases,cystoid-benign 1 cases,mastoid-benign of duodenum 2 cases, inflammation straitness 2 cases. Conclusion A combinative way to determine the nature and pancreas puncture through duodenum were the most effetive methods to increase the correct rate of diagnosis ,for those diagnosed preoperation lack of contra evidence should be implemented pancreticoduodenectomy.

关 键 词：胰十二指肠切除术 胰腺癌 慢性胰腺炎 

分 类 号：R657.5[医药卫生—外科学]