慢性胰腺炎手术治疗时机与手术方式选择  

Timing and selection of surgical treatments for chronic pancreatitis

作　　者：王孜尧 柯能文[1] Wang Ziyao;Ke Nengwen(Pancreatic Surgery Ward,Department of General Surgery,West China Hospital,Chengdu 610041,China)

机构地区：[1]四川大学华西医院普通外科胰腺外科病房,成都610041

出　　处：《中华肝脏外科手术学电子杂志》2024年第4期466-471,共6页Chinese Journal of Hepatic Surgery(Electronic Edition)

基　　金：四川省科技厅重点项目(2020YFS0262)

摘　　要：慢性胰腺炎是一种严重影响患者生活质量的难治性疾病。目前"药物-内镜-手术"的阶梯式策略是治疗该疾病的主要模式。但是随着对该疾病的进一步认识,特别是对其疼痛机制的深入研究,传统的治疗策略也迎来了新的变革。早期手术理念的提出和实践在慢性胰腺炎全程治疗中都显示出独特的优势。本文将围绕早期手术干预的效果以及手术方式的选择,深入探讨早期手术理念的意义和价值,结合恰当的手术方式,总结出不同情况下慢性胰腺炎患者最适合的治疗手段。Chronic pancreatitis is a refractory disease that severely affects the quality of life of patients.At present,the step-by-step approach of"medicine-endoscopy-surgery"is the main mode of treatment for this disease.However,with deepening understanding of the disease,especially in-depth study of its mechanism of pain,traditional treatment strategy has also undergone novel changes.The concept and practice of early surgery have shown unique advantages in the full-course treatment of chronic pancreatitis.In this article,focusing on the efficacy of early surgical intervention and the selection of surgical approaches,the significance and value of early surgery were deeply discussed,and the optimal treatment combining with suitable surgical approaches for patients with chronic pancreatitis under different circumstances was summarized.

关 键 词：慢性胰腺炎 手术时机 手术方式 阶梯式管理 

分 类 号：R657.5[医药卫生—外科学]