摘要
目的 探讨胰管结石的病因及诊治方法。方法 对 1987年 8月至 2 0 0 3年 6月间收治的胰管结石 19例进行回顾性分析。结果 本组 19例中 ,合并有慢性胰腺炎 14例 ,胆石症 5例。 15例行胰管切开取石、胰管空肠吻合术 ,2例行十二指肠乳头成形 ,胰石取出术 ,2例行内镜下十二指肠乳头括约肌切开取石 ,均获得满意效果。B超诊断符合率为 89 5 % (17/ 19) ,CT诊断符合率为6 6 7% (10 / 15 ) ,ERCP、MRCP诊断符合率均为 10 0 % (6 / 6、3/ 3)。结论 慢性胰腺炎、胆石症是形成胰管结石的主要原因 ,B超为首选诊断方法 ,胰管切开取石、胰管空肠吻合是治疗胰管结石的主要术式。
Objective To explore the etiology, diagnosis and treatment of pancreatic stones. Method Retrospective analysis was made on 19 cases with pancreatic stones in one stage from Aug, 1987 to Jun, 2003. Result 14 cases were accompanied with chronic pancreatitis,5 cases were accompanied with choleithiasis all cases underwent surgery, including transpancreatic duct lithotomy, pancreatic-intestinal anastomosis in 15 cases, sphincteroplasty ,pancreatic stone removal in 2 cases, endoscopic sphincterotomy(EST), pancreatic stone removal in 2 cases, the result was satisfactory. The diagnostic rate of ultrasonography、CT、ERCP、MRCP was 89.5%(17/19) 、66.7%(10/15)、100%(6/6)、100%(3/3) respectively. Conclusion Chronic pancreatitis, choleithiasis were the major causes of pancreatic stone. The diagnosis was relied on B ultrasonography, we suggest that incising the whole pancreatic duct and pancreaticojejunostomy be the first choice of operation for patients with pancreatic stones.
出处
《中华肝胆外科杂志》
CAS
CSCD
2004年第6期392-394,共3页
Chinese Journal of Hepatobiliary Surgery
