慢性胰腺炎71例诊治体会  

Strategies of diagnosis and surgical treatment for chronic pancreatitis：A report of 71 cases

作　　者：韩非[1] 刘颖[2] 阳历[1] 詹苏东[1] 章孟[1] 王春友[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胰腺外科中心,武汉430022 [2]武汉市中西医结合医院（第一医院）中医科

出　　处：《腹部外科》2012年第1期38-39,共2页Journal of Abdominal Surgery

摘　　要：目的探讨慢性胰腺炎的诊治经验。方法对2006年1月至2009年1月收治的71例慢性胰腺炎病人的临床资料进行回顾性分析。结果71例中行保守治疗15例，内镜治疗11例，手术治疗45例。手术治疗包括，胰管内引流术20例，胰体尾切除术3例，胰十二指肠切除术6例，保留十二指肠的胰头全切术9例，其它7例。全部病例均存活，无围手术期死亡。术后发生胆漏3例，胰漏1例，伤口感染1例。全部病人随访6个月～1年，均未复发。结论对于慢性胰腺炎，CT＋ERCP或MRCP是较好的术前诊断方法；治疗方案应根据病理检查的结果来制定。Objective To study the strategies of diagnosis and surgical treatment for chronic pancreatitis. Methods The clinical data of 71 cases of chronic pancreatitis from January 2006 to Janu- ary 2009 were analyzed retrospectively. Results Fifteen cases received conservative treatment, 11 cases were subjected to endoscopic therapy, 45 cases to surgical treatment, including 20 cases to internal drainage of pancreatic duct,3 case to distal pancreatectomy,6 cases to pancreaticoduodeneetomy,9 ca- ses to duodenum-preserving total pancreatic head resection, 7 cases to other operations. All patients were alive, and no perioperative death. 3 cases of bile leakage, 1 case of pancreatic leakage and 1 case of wound infection occurred after surgery. All patients were followed up for 6 months to a year and did not recur. Conclusion CT ＋ ERCP or MRCP are the primary means of diagnosis for chronic pancreatitis. Treatment should be based on the results of the pathologic examination.

关 键 词：慢性胰腺炎 诊断 外科手术 

分 类 号：R576[医药卫生—消化系统]