慢性胰腺炎内镜治疗的研究进展  

Progress of Endoscopic Management for Chronic Pancreatitis

作　　者：谭学明[1] 张银[1] 马丽梅[1] 何晓露[1] 范志宁[1] 

机构地区：[1]南京医科大学第二附属医院消化医学中心,南京210029

出　　处：《中国微创外科杂志》2015年第5期455-459,464,共6页Chinese Journal of Minimally Invasive Surgery

基　　金：国家自然科学基金(项目编号:81172266)

摘　　要：消化内镜治疗慢性胰腺炎(chronic pancreatitis,CP)已有10多年的历史,常见方法有内镜下胰管括约肌切开术、内镜下胰管扩张和胰管支架植入术、超声内镜引导下腹腔干神经节的阻滞等。内镜治疗CP可以有效缓解疼痛,改善胰腺的功能,从一定程度上可替代外科治疗。多数CP伴有胰胆管的其他病变特征,包括胰管结石、胆总管狭窄、胰腺假性囊肿等,病情发展均可引起相应的症状并与CP互为因果。综合考虑治疗效果、并发症发生率及患者术后生活质量等。There have been more than 10 years since endoscopy was used to treat the chronic pancreatitis , including endoscopic pancreatic sphincterotomy , dilatation of pancreatic duct , endoscopic pancreatic stent deployment , etc. Endoscopic management could relieve the pain caused by chronic pancreatitis effectively , and improve the pancreatic functions .In other words , it could substitute the surgical therapy to some extent .Most cases with chronic pancreatitis were accompanied with other diseases , such as pancreatic duct stones , stricture of common biliary duct , and pancreatic pseudocyst , which also caused these symptoms and interacted as both causes and effected with chronic pancreatitis .Considering the efficacy of treatment , complication incidence and quality of life of patients, we find that endoscopic management can be chosen as the first treatment method for chronic pancreatitis and its co -morbidities .

关 键 词：慢性胰腺炎 内镜 胰管结石 胆总管狭窄 胰腺假性囊肿 

分 类 号：R657.51[医药卫生—外科学]