胰管结石的外科治疗  

Surgical treatment of pancreatic stone

作　　者：卢实春[1] 佟卫刚[2] 夏刚[3] 陈鹏 严律南[1] 

机构地区：[1]华西医科大学附属第一医院肝胆胰研究室,成都市610041 [2]天津医科大学附属肿瘤医院 [3]内江市第二人民医院 [4]重庆市垫江县中医院外科

出　　处：《中华普通外科杂志》1998年第5期290-291,共2页Chinese Journal of General Surgery

摘　　要：目的探讨手术治疗胰管结石的效果。方法对1986～1996年收治的胰管结石32例进行回顾性分析。结果胰管结石32例均合并有慢性胰腺炎,其中合并胰腺癌5例。行胰管切开取石胰肠吻合术75例,行胰十二指肠切除术4例,行胰体尾加脾切除术2例,行剖腹活检术1例。26例平均随访4.4±2.1年,死亡7例(7/26,27%),腹痛完全缓解为16例(16/26,62%),部分缓解为7例(7/26,27%),腹痛无缓解为3例(3/26,11%),糖尿病和腹泻发生率均较术前增加。术后5年、10年的生存率(Kaplan-Meier 生存分析法)分别为91%、68%。结论胰管结石确诊后应争取早日手术治疗。To investigate the efficacy of surgical management on pancreatic stone (PS).Method A retrospec- tive analysis was made on 32 PS cases admitted from 1986 to 1996,of them all were complicated by chronic pancreati- tis and 5 by pancreatic carcinoma.Result Pancreatic lithotomy plus pancreatojejunostomy was performed on 25 cas- es,pancreatoduodenectomy on 4 cases,caudal pancreatectomy plus splenectomy on 2 and laparotomy and biopay on 1. Twentysix cases were followed up for 4.4±2.1 years among them 7 died.Abdominal pain relief was achieved to vari- ous degree in 90% of all cases,but the incidence of postoperative diabetes and diarrhea increased.Postoperative five and ten year survival rate were 91% and 68% respectively.Conclusion Patients with definite diagnosis of pancreatic stones should undergo early surgery.

关 键 词：胰腺疾病 外科手术 胰管结石 

分 类 号：R657.505[医药卫生—外科学] R364.25[医药卫生—临床医学]