19例胰管结石手术经验探析  

Experience in surgical treatment of 19 patients with pancreatic duct stones

作　　者：张亚辉 易竹君[2] 龚建平[2] 熊彬[2] 

机构地区：[1]重庆荣昌县中医院外二科,重庆402460 [2]重庆医科大学附属第二医院肝胆外科,重庆400010

出　　处：《临床肝胆病杂志》2015年第5期694-696,共3页Journal of Clinical Hepatology

摘　　要：目的探讨胰管结石诊断和手术治疗方法的选择。方法回顾性分析重庆荣昌县中医院2006年1月-2014年9月收治的19例胰管结石患者的临床资料。所有患者均通过影像学检查(B超、CT及磁共振胰胆管造影)得到诊断。19例患者均伴有慢性胰腺炎,3例伴有糖尿病,2例伴有黄疸,1例伴有胆道出血,1例伴有胰头癌。结果 19例患者均采取手术治疗,其中胰管切开取石、胰管空肠吻合5例,胰十二指肠切除9例,单纯行胰体尾部切除术3例,保留十二指肠的胰头切除2例。结论外科手术是治疗胰管结石最常用,也是重要和最终手段。应根据患者的的实际情况进行充分分析选择,制订个性化的手术方案,从而保证手术的成功率,改善患者的生存质量。Objective To summarize the experience in the diagnosis and surgical treatment selection of pancreatic duct stones （PDS）. Methods The medical records of 19 patients with PDS in Rongchang Hospital of Traditional Chinese Medicine from January 2006 to Sep-tember 20l4 were analyzed retrospectively in terms of clinical characteristics,diagnosis,and treatment.All 19 patients were diagnosed with PDS by imaging examinations such as B -ultrasonography,computed tomography,and magnetic resonance cholangiopancreatography.Be-sides all cases diagnosed with chronic pancreatitis,3 cases were accompanied by diabetes,2 cases by jaundice,1 case by biliary tract hem-orrhage,and 1 case by carcinoma of the pancreatic head.Results All patients received surgeries including 9 cases of pancreatic duodenal resection,5 cases of both pancreatolithotomy and pancreatic duct jejunum anastomosis,2 cases of simple resection of pancreatic body and tail,and 2 cases of duodenum -preserving pancreatic head resection.Conclusion Surgery is the most commonly used,curative method for PDS patients.Based on fully analyzing the actual situation of patients,personalized operation treatment can ensure operation success rate and improve patients′quality of life.

关 键 词：胰管结石 消化系统外科手术 

分 类 号：R657.5[医药卫生—外科学]