摘要
目的：探讨手术治疗青少年胰管结石的效果。方法：对１９８２～１９９７年收治的青少年胰管结石１８例进行回顾性分析。结果：胰管结石１８例均合并慢性胰腺炎，其中合并胰腺癌３例，行胰管切开取石、胰肠吻合术１５例，行胰十二指肠切除术１例，胰体尾部切除术２例。随访６个月～１０年，腹痛缓解或部分缓解１１例，腹痛无缓解３例，糖尿病和腹泻发生率４０％（６／１５），３例胰腺癌５年内均死亡。结论：青少年胰管结石确诊后应争取早日手术治疗。
Objective: Tostudytheeffectofoperativetreatmentforpancreaticductalstoneinadolescent.ZMethods: Eighteenadolescentpatientswithpancreaticductalstone treatedintheyears19821997 wereanalyzedinretrospect. Results: Allofthepatientswereassociatedwithchronicpancreatitis.Threecasessufferedfrompancreaticcarcinoma.Stoneswereremovedfrompancreaticductandpancreaticojejunostomywasperformedin15patients,andpancreatoduodenectomyin1.Removalofthebodyandtailofthepancreawasperformedin2patients.Allpatientswerefollowedupfrom6monthsto10years.Thesymptomswerecompletelyorpartiallyrelievedin11patients.Threepatientsstillhadabdominalpain.Theoccurencerateofdiabetesanddiarrheawas40%.Thepatientswithpancreaticcarcinomadiedinfiveyearsafteroperation. Conclution: Earlyoperativetreatmentshoudbetakenforpancreaticductalstoneinadolescent.
出处
《滨州医学院学报》
1999年第3期230-231,共2页
Journal of Binzhou Medical University
关键词
胰管结石
外科手术
胰腺炎
青少年
治疗
pancreaticductalstone
surgicaltreatment
chronicpancreatitis
