摘要
目的探讨胰管结石的临床特点及外科处理策略。方法回顾性分析2002年1月至2007年12月间收治的14例胰管结石病人临床资料。结果14例病人均有上腹痛症状,11例合并慢性胰腺炎,14例病人中,13例病人行手术治疗,1例放弃手术。其中10例行胰管空肠Roux-en-Y吻合术;1例行保留十二指肠的胰头切除术;1例行胰体尾加脾切除术,1例胰管切开取石,胰管内置T型管引流,术后症状均有不同程度缓解。结论上腹痛及合并慢性胰腺炎是胰管结石的主要临床特点,B超、CT及MRCP是诊断胰管结石最主要的手段,手术治疗是胰管结石的最佳方法。手术方式应该根据病人情况进行选择。
Objective To evaluate the feature of clinic and surgrical tretment in pancreatic duct stones. Methods The clinical 4 patients treated form 2002 - 2007 were retrospectively analyzed. Results Epigatric pain was the first symptome in all patients, and chronic pancreatitis was associated. 13 of 14 cases underwent operation , 10 case underwent pancreatolithotomy plus side to side Roux-en-Y pancreaticojejunostomy. Removal head of pancreas with duodenum preserved（Beger） in one case, Distal pancreatectomy with splenectomy in one case Lithotomy by pancreatic incision and T-tube drainage in one case. Conclusion Epigatric pain was the first symptome in pancreatic duct stones pancreatic duct stones, most of patients associated with chronic pancreatitis, B-type ultrasonog- raphy, CT and MPCP are most useful diagnostic methods;Surgical management is the best treatment method for pancreatic duct stone. Surgical procedures should be selected aecording to the patient.
出处
《肝胆外科杂志》
2009年第1期31-33,共3页
Journal of Hepatobiliary Surgery
关键词
胰管结石
临床特点
诊断
治疗
pancreatic duct stones
clinical feature
diagnosis
surgical treatment
