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您现在的位置:首页 => 在线期刊 => 2015年 5期 胰腺疾病 => 胰腺疾病 =>19例胰管结石手术经验探析
19例胰管结石手术经验探析
Experience in surgical treatment of 19 patients with pancreatic duct stones
文章发布日期:2015年04月15日  来源:  作者:张亚辉,易竹君,龚建平,等  点击次数:1361次  下载次数:231次

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【摘要】:目的探讨胰管结石诊断和手术治疗方法的选择。方法回顾性分析重庆荣昌县中医院2006年1月-2014年9月收治的19例胰管结石患者的临床资料。所有患者均通过影像学检查 (B超、CT及磁共振胰胆管造影) 得到诊断。19例患者均伴有慢性胰腺炎,3例伴有糖尿病,2例伴有黄疸,1例伴有胆道出血,1例伴有胰头癌。结果19例患者均采取手术治疗,其中胰管切开取石、胰管空肠吻合5例,胰十二指肠切除9例,单纯行胰体尾部切除术3例,保留十二指肠的胰头切除2例。结论外科手术是治疗胰管结石最常用,也是重要和最终手段。应根据患者的的实际情况进行充分分析选择,制订个性化的手术方案,从而保证手术的成功率,改善患者的生存质量。
【Abstract】:ObjectiveTo summarize the experience in the diagnosis and surgical treatment selection of pancreatic duct stones (PDS). MethodsThe medical records of 19 patients with PDS in Rongchang Hospital of Traditional Chinese Medicine from January 2006 to September 20l4 were analyzed retrospectively in terms of clinical characteristics, diagnosis, and treatment. All 19 patients were diagnosed with PDS by imaging examinations such as B-ultrasonography, computed tomography, and magnetic resonance cholangiopancreatography. Besides all cases diagnosed with chronic pancreatitis, 3 cases were accompanied by diabetes, 2 cases by jaundice, 1 case by biliary tract hemorrhage, and 1 case by carcinoma of the pancreatic head. ResultsAll patients received surgeries including 9 cases of pancreatic duodenal resection, 5 cases of both pancreatolithotomy and pancreatic duct jejunum anastomosis, 2 cases of simple resection of pancreatic body and tail, and 2 cases of duodenum-preserving pancreatic head resection. ConclusionSurgery is the most commonly used, curative method for PDS patients. Based on fully analyzing the actual situation of patients, personalized operation treatment can ensure operation success rate and improve patients′ quality of life.
【关键字】:胰管结石;消化系统外科手术
【Key words】:pancreatic calculi; digestive system surgical procedures
【引证本文】:

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