胰头结石的手术方式选择(附12例报告)  

The treatment of pancreatic head stone:12 cases report

作　　者：周琎[1] 时开网[1] 杨士勇[1] 

机构地区：[1]南京医科大学附属南京医院南京市第一医院普外科,南京210006

出　　处：《外科理论与实践》2013年第2期147-149,共3页Journal of Surgery Concepts & Practice

基　　金：南京市卫生局面上项目(YKK10106)

摘　　要：目的:探讨治疗胰头结石的手术方式选择。方法:回顾分析2002年至2011年我院收治的12例胰头结石病人的临床资料,并结合复习有关文献。结果:12例病人均伴有慢性胰腺炎,1例伴有胰头癌,3例伴有糖尿病。12例病人均行手术,其中行胰管切开取石、胰管空肠吻合术7例,胰十二指肠切除术3例,保留十二指肠的胰头切除术2例。结论:胰头结石手术治疗方法应根据具体情况采取不同的手术方式,对胰头部胰管结石的年轻病人可考虑行保留十二指肠的胰头切除术。Objective To study the treatment of pancreatic head stone. Methods The clinical data of 12 patients with pancreatic head stone treated in our hospital from 2002 to 2011 were retrospectively analyzed. Meanwhile, relevant literatures were reviewed. Results Twelve patients were complicated with chronic pancreatitis. One had the complication of pancreatic carcinoma and 3 diabetes. All patients underwent operation. Pancreatic lithotomy with pancreaticojejunostomy was performed in seven cases, pancreatoduodenectomy in 3 cases, and duodenum-preserving pancreatic head resection （DPPHR） in the other 2 cases. Conclusions The selection of operation for pancreatic head stone should be based on the situations of individual patient. DPPHR should be given to young patients with pancreatic head pancreatolithiasis.

关 键 词：胰管结石 保留十二指肠的胰头切除 治疗 诊断 

分 类 号：R657.5[医药卫生—外科学]