慢性胰腺炎的外科治疗及远期疗效  

LONG TERM RESULTS OF SURGICAL TREATMENT OF CHRONIC PANCREATITIS

作　　者：佟卫刚[1] 卢实春[1] 胡骥[1] 陈鹏 乌建平[3] 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610041 [2]重庆市垫江县中医院外科 [3]四川省乐山市人民医院急救中心

出　　处：《中国普外基础与临床杂志》1999年第6期347-349,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：为了解慢性胰腺炎（ｃｈｒｏｎｉｃ ｐａｎｃｒｅａｔｉｔｉｓ ， ＣＰ） 的治疗现状，回顾性地分析过去１０ 年收治的慢性胰腺炎患者１１６ 例的资料，其中８１ 例经手术治疗，３５ 例为保守治疗。结果显示： 外科治疗组腹痛缓解明显优于保守治疗组（ Ｐ＜０ ．０５） ，而疗效综合评价，两组间差异无显著性意义（ Ｐ＞ ０ ．０５） 。术后患者内外分泌功能继续受损害，糖尿病和腹泻发生率明显增加。由乙醇性、胆源性和特发性３ 种病因所致ＣＰ 的患者，５ 年生存率分别为５６ ．３ ％ 、９２ ．２ ％ 和７８ ．１ ％ 。由此提示： 伴随有胆胰管梗阻的慢性胰腺炎患者应争取早日手术治疗，可有效地缓解腹痛症状。To evaluate the present status of treatment of chronic pancreatitis, 116 consecutive patients with chronic pancreatitis during the last decade (1986～1996) have been surveyed retrospectively. The clinical date has been analized statisticaly. Etiology: biliogenic 56 cases (48.3%), alcoholic 17 (14.6%), idiopathic 34 (29.3%) and other 9 cases (7.8%). Better result was achieved in surgical treatment group (81 cases) than in conservative group (35 cases), pain free: 65.5% vs 33.3%. The accumulated five year survival rate was 56.3%, 92.2% and 78.1% in alcoholic, billiogenic and idiopathic type of chronic pancreatitis respectively. Morbidity and mortality of diarrhea and diabetes mellitus increased at follow up. The authors conclude that the chronic pancreatitis patients associated with obstruction of biliopancreatic duct should undergo operation early and will ameliorate abdominal pain.

关 键 词：慢性 胰腺炎 外科治疗 生存率 疗效 

分 类 号：R657.510.5[医药卫生—外科学]