胰头部慢性局限性胰腺炎的诊断及处理

The diagnosis and treatment of focalized pancreatitis:report of 16 cases

作者报告了１６例胰头部局限性胰腺炎的诊治体会。１６例临床均表现为胰头占位，１３例伴黄疸。患者二周内出现黄疸减退和／或胰头占位缩小。Ｂ超、ＥＲＣＰ、术中探沓及病理检查具有一定的鉴别诊断价值。６例患者行保守治疗。１０例诊断困难者行手术治疗，７例行Ｔ管引流、胆总管空肠吻合等引流手术，３例无法除外癌的患者，行胰十二指肠切除术。随诊患者黄疸消退、肿块缩小或消失。

AbstractWe report 16 patients of focalized pancreatitis. Allpatients presented mass in the head of pancreas and ob-structive jaundice(13 patients),characterized by spon-taneous mass shrinkage and jaundice subsidence withintwo weeks after admission without any surgical inter-vention. Sonography, ERCP,exploration and intraop-erative biopsy are of value in differentiating FP fromcarcinoma. Six patients received conservative therapy. Operations aimed to drain the commonbile duct andpancreatic duct(T tube drainage of commonbile duct,choledochojejunostomy,pancreatojejunostomy)wereperformed in 7 patients. Pancretoduodenectomy wereperformed in 3 patients on tentative diagnosis of carci-noma in the head of the pancreas. Follow-up in 12 pa-tients showed satisfactorv results.