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胰管结石诊治12例报告

Diagnosis and treatment of pancreatolithiasis: a report of 12 cases
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摘要 目的探讨胰管结石的诊断与治疗方法。方法回顾性总结该院1996年 ̄2004年7月收治的12例胰管结石病人的临床资料。结果主要症状为上腹疼痛.腰背痛.内外分泌功能障碍。B超、CT为重要的影像学检查方法。该组病例中有9例行手术治疗,行胰管切开取石、尾部囊肿穿刺针吸术1例。行姑息性胆肠内引流2例,其中1例加做胆囊切除。结论B超、CT为重要的诊断手段;胰管切开取石、胰管空肠吻合为胰石症的主要手术方式,强调制定“个体化治疗方案”。 [Objective] To discuss the method of diagnosis and the treatment for pancreatolithiasis. [Methods] The clinical data of 12 patients with pancreatolithiasis treated in our hospital from 1996 to July 2004 were retrospectively analyzed. [Results] The main clinical manifestations included epigastric pain, back pain as well as exocrine and endocrine functional disturbance. The disease can be diagnosed by B-mode ultrasonography, and CT. Nine patients received operation. Seven cases undenvent pancreatolithotomy plus side-to-side pancreaticojunostomy, cholecystectomy was added in 5 cases, in 4 cases the common bile duct explored and a decompressing T tube insert; In3 cases, distal pancreatetomy was added; pancreatesis of the pancreatic cyst was added in 1 case. Two of 9 were treated by biliary enteric anastomosis. [Conclusion] B-mode ultrosonography and CT were very effective in the diagnosis of pancreatolithiasis. Pancrealithotomy plus side-to-slde pancreaticojejunstomy is the best choice for its treatment. The principle of individualized therapy should be followed.
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2005年第24期3772-3774,共3页 China Journal of Modern Medicine
关键词 胰管结石 诊断 外科手术 pancreatolithiasis diagnosis surgical procedures operative
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参考文献10

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