保留十二指肠亚胰头切除术八例临床分析  

Bern procedure in duodenum-preserving pancreatic head resection

作　　者：张东生[1] 于江[1] 步向阳[1] 陈增银[1] 

机构地区：[1]山东省青岛市市立医院肝胆外科,266071

出　　处：《中华全科医师杂志》2009年第7期495-496,共2页Chinese Journal of General Practitioners

摘　　要：探讨Bern术式（保留十二指肠及少部分胰头组织的亚胰头切除术）在治疗慢性胰腺炎及某些胰头良性肿瘤中的作用。共8例患者因胰头炎性肿块或良性肿瘤行Bern术，围手术期未出现死亡及严重并发症，中位随访时间10个月（6～14个月），8例患者临床症状均有缓解，慢性胰腺炎患者体重平均增加7．9kg（4～18垤），胰腺外分泌功能提高，但内分泌功能无变化。说明采取Bern术式治疗，能有效缓解慢性胰腺炎及胰头部良性肿瘤患者因胰头占位引起的症状，手术安全。Eight patients with chronic pancreatitis or benign pancreatic head tumors were investigate to evaluate the use of Bern procedure in duodenum-preserving pancreatic head resection. Our data indicated no perioperative deaths and serious complications. During median follow-up of 10 months （range, 6 to 14 months） , all patients reported improved clinical symptoms, and those with chronic pancreatitis had weight increased by 7.9 kg （range, 4 to 18 kg）. Pancreatic exoerine function was improved, although the endocrine function showed no change. The Bern procedure might be a relatively safe and effective procedure for the treatment of chronic pancreatitis or benign pancreatic head tumors.

关 键 词：胰腺炎 慢性 胰管空肠吻合术 

分 类 号：R735.9[医药卫生—肿瘤]