胰管结石症诊治进展

Progress in management of pancreatic duct stone

胰管结石症是一类较少见的疾病,可导致慢性腹痛、胰腺内外分泌功能不足,甚至癌变。影像学检查是胰管结石症的主要诊断方法,一旦确诊,应及时治疗。胰管结石症的治疗原则是"取尽结石、解除梗阻、通畅引流",治疗方法包括内科保守治疗、外科手术治疗和微创治疗等。随着内镜技术的发展和碎石仪器的改进,有越来越多的胰管结石症患者不选择外科手术治疗。但外科手术仍是胰管结石症治疗不可取代的重要手段。腹腔镜胰腺手术不仅手术切口小,而且解剖更精细,手术质量更高,是胰管结石症外科治疗的发展方向。

Pancreatic duct stone is a rare disease that may cause chronic abdominal pain and damage the exo-endocrine function of pancreas. Imaging examination is the main effective method in diagnosis of pancreatic duct stone. Once the diagnosis is made, the treatment should be done timely. The principle for treatment of pancreatic duct stone is to completely clear all stones, relieve the obstruction and allow free drainage. The methods used in treating pancreatic duct stone include internal medicine, surgical and minimal invasive treatment. With the development in the endoscopy and instruments of shock wave lithotripsy, less and less patients choose operative therapy. However, surgery is still a common therapeutic option for pancreatic duct stone. Laparoscopic pancreatic surgery is becoming the trend for pancreatic duct stone because of its smaller incision, precise anatomy and high quality.