慢性胰腺炎治疗方法的选择与疗效分析  

Effects of different managements for chronic pancreatitis

作　　者：马瑞亮[1] 潘丽娜[1] 赵峰[1] 

机构地区：[1]中国人民解放军第254医院普外科,天津300142

出　　处：《中国实用外科杂志》2004年第2期111-112,共2页Chinese Journal of Practical Surgery

摘　　要：目的　改善慢性胰腺炎的治疗效果。方法　回顾性分析 1985～ 2 0 0 0年收治的 5 8例慢性胰腺炎病人的治疗效果。结果　 33例接受非手术治疗的病人多数有效 ,但多有复发。经手术治疗的 2 5例病人效果明显好于非手术治疗组。结论　对胰头包块型慢性胰腺炎、梗阻型慢性胰腺炎、假性胰腺囊肿应手术治疗 ;对病变弥漫且无胰管梗阻者 ,应采取内科治疗 ,若药物难以控制 ,可采用胰腺去神经术 ;对合并胆石的慢性胰腺炎 ,应积极进行手术处理。Objective To improve the clinical outcome of treatment for chronic pancreatitis.Methods Fifty-eight patients with chronic pancreatitis receiving treatment in our hospital from 1985 to 2000 were analyzed retrospectively.Results Thirty-three patients received nonoperative treatment,and 25 patients were managed by surgical treatment.Both kinds of treatment were effective with easier relapsing in group managed by nonoperative treatment and a significantly better effect of surgical treatment.Conclusion The clinicopathologic characteristics of chronic pancreatitis is variable and the management should also be different for individuals.Resection should be performed for patients with inflammatory mass in the head of pancreas.When a dilated ductal system is encountered,drainage procedures should be recommended.Cystojejunostomy should be performed for pancreatic pseudocyst.Internal medicine treatment was suitable for chronic diffuse inflammation of pancreas without dilated duct.Denervation should be recommended when internal medicine treatment becomes ineffective.Cholelithiasis with chronic pancreatitis should be managed by surgical treatment earlier.

关 键 词：慢性胰腺炎 药物治疗 胰腺去神经术 胰十二指肠切除术 

分 类 号：R657.51[医药卫生—外科学]