胰头部肿块型慢性胰腺炎的处理对策

Management of chronic pancreatitis with mass in the head of the pancreas

近年来，随着对胰头部肿块型慢性胰腺炎的形成机制及其与胰腺癌关系的认识不断深入，大型胰腺治疗中心手术安全性也不断提高，胰头部肿块型慢性胰腺炎的处理有朝着积极手术干预方向发展的趋势。术前对胰头部肿块型慢性胰腺炎的鉴别诊断不断进步，对于术前EUS活组织病理检查阴性，诊断困难的患者，术中Tru—cut组织芯活组织病理检查正越来越多地被应用，其对决定胰头部肿块进行合适的手术方式有重要作用。外科医师应通过不断改进处理策略，尽可能在保证患者治疗效果的前提下，使患者的受益最大化。

With continuous research of the formation mechanism of chronic pancreatitis with mass in the head of the pancreas and its relation with pancreatic cancer, and steady improvement of the operation safety, the number of operation for the chronic pancreatitis with mass in the head of the pancreas is increasing. On the other hand, with the improvement of the accuracy of preoperative diagnosis, Tru-cut intraoperative biopsy is increasingly applied to patients with negative results of pre- operative uhrasonography biopsy, which is important for the sur- gical procedure selection. With the premise of effective treat- ment, continous improvement of treatment strategies to the chro- nic pancreatitis with mass in the head of the pancreas can maxi- mize the benefit of patients.