外伤性胰腺损伤的诊治进展  被引量:8

Progress in diagnosis and treatment of traumatic pancreatic injuries

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作  者:王建球[1] 陈跃宇[1] 

机构地区:[1]上海交通大学医学院附属仁济医院嘉定分院普外科,上海201800

出  处:《创伤外科杂志》2010年第1期84-86,共3页Journal of Traumatic Surgery

摘  要:外伤性胰腺损伤的诊断主要依据淀粉酶的测定,B超、CT、内镜逆行胰胆管造影(ERCP)、磁共振胆胰成像(MRCP)和腹腔镜等检查,各有其特点及应用价值。根据胰腺损伤的具体情况,选择合理术式,充分有效的引流对治疗效果至关重要。而主胰管断裂的识别和定位也是治疗成功的关键。本文对外伤性胰腺损伤的诊治进展作一综述。The diagnosis of traumatic pancreatic injuries mainly bases on the determination of amylase,examinations including B-ultrasound,CT,MRCP,ERCP and laparoscopy etc.Each examination has its own characteristics and value.The key procedures for improving prognosis are the timely and effective operation and postoperative drainage.The identification and position of fracture in the main pancreatic duct is also the key to successful treatment.In this paper,diagnosis and treatment of traumatic pancreatic injuries are reviewed.

关 键 词:胰腺损伤 诊断 治疗 

分 类 号:R657.5[医药卫生—外科学]

 

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