慢性胰腺炎合并胰管结石的诊断和治疗  

Diagnosis and treatment for pancreatic duct stones in chronic pancreatitis

作　　者：洪建国[1] 刘恩宇[1] 牛卫博[1] 王家勇[1] 彭程[1] 王健[1] 林鹏飞[1] 赵传宗[1] 贺兆斌[1] 牛军[1] 

机构地区：[1]山东大学齐鲁医院肝胆外科,山东济南250012

出　　处：《中国现代普通外科进展》2011年第1期62-65,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:探讨慢性胰腺炎合并胰管结石的诊断和治疗方法。方法:回顾分析总结2003年1月至2010年1月慢性胰腺炎合并胰管结石患者19例,其中手术治疗13例。结果:慢性胰腺炎合并胰管结石多以上腹部疼痛不适为首发症状,B超可作为首选的诊断方法,多种辅助检查的联合应用有助于该病及其它相关并发症的明确诊断。胰管切开取石、胰管空肠侧侧吻合术是目前胰管结石治疗的主要手段,应重视术前的准确评估和手术技巧的应用,防止结石残留。结论:B超为诊断胰管结石的首选检查法,首选术式为胰管切开取石、胰管空肠侧侧吻合术。Objective： To explore the methods for diagnosis and treatment of pancreatic duct stones in chronic pancreatitis.Methods： Retrospectively analyzed clinical data of 6 medical treatments and 13 surgical treatments performed in our hospital between January 2003 and January 2010.Results： Epigastric pain was the major symptom.Ultrasonography is of the best choice for diagnosis of pancreatic duct stones.Pancreatolithotomy plus side-to-side pancreaticojejunostomy is the first choice for its treatment.An accurate preoperation evaluation and surgical skills are very important for therapeutic value and we recommend intraoperative ultrasound or cholangioscopy should be used in cases of pancreatic duct stones to detect the remaining stones.Conclusion： Ultrasonography was very effective in the diagnosis of pancreatic duct stone,and pancreatolithotomy plus side-to-side pancreaticojejunostomy usually results in a cure of the disease.

关 键 词：胰管结石 慢性胰腺炎 

分 类 号：R657.51[医药卫生—外科学]