胰管结石合并胰腺癌的诊治  

Diagnosis and treatment of pancreatolithiasis complicated with pancreatic cancer

作　　者：杨威[1] 丁思勤[1] 吴胜利[1] 王国俊[1] 潘承恩[1] 

机构地区：[1]西安交通大学第一医院肝胆外科,西安市710061

出　　处：《中华肝胆外科杂志》2002年第2期87-89,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　探讨胰管结石与胰腺癌的关系及诊断与治疗的方法。方法　回顾性总结 1990～ 1999年 6月收治的 5例胰管结石合并胰腺癌病人的临床资料。 5例病人均行手术治疗 ,胰十二指肠切除 3例 ,胰管切开取石、胰管空肠吻合 1例 ,术中活检 1例。结果　胰管结石病人多以上腹痛为首发症状。术前B型超声、ERCP、CT等都对胰石有确诊作用。胰腺癌在局部形成包块前 ,术前诊断较为困难。结论　B型超声为诊断胰管结石的首选检查法 ;胰管结石易合并胰腺癌 ,术中应常规行病理检查。胰管结石合并胰腺癌病人的首选术式为胰十二指肠切除术。Objective To study the relationship between diagnosis and treatment of pancreatolithiasis and pancreatic cancer. Methods Five cases of pancreatolithiasis with pancreatic cancer surgically treated in our hospital from 1990 to 1999 were reviewed. Of these 5 patients, 3 were subjected to pancreaticoduodenectomy, 1 pancreaticolithotomy and pancreaticojejunostomy and the other biopsy during the operartion. Results The major symptom was abdominal pain. The disease cold be correctly diagnosed by B mode untrasonography, ERCP and CT. ERCP was very important for diagnosis of the disease. Before the pancreatic mass was found, pancreatolithiasis with pancreatic cancer was difficult to be correctly diagnosed. Conclusions B mode ultrasonography is the best choice for diagnosis of pancreatolithiasis. Pancreatolithiasis is apt to be combined with pancreatic cancer. Pathological examination is necessary during the operation. Pancreaticoduodenectomy is of the first choice in treatment of pancreatolithiasis with pancreatic cancer.

关 键 词：胰管结石 并发症 胰腺癌 诊断 治疗 

分 类 号：R735.9[医药卫生—肿瘤]