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胰腺结石的病因和诊治 被引量:13

The etiology, diagnosis and treatment of pancreatic stones
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摘要 为探讨胰腺结石的病因、形成机理、诊断和治疗方法,作者总结了1979年以来诊治的28例胰腺结石经验。本组23例进行了手术治疗,其中胰管切开取石、胰肠吻合术14例,胰体尾切除术3例,胰十二指肠切除术1例,获得满意效果。作者指出胰腺结石的病因与胰管蛔虫、酗酒、慢性胰腺炎、低蛋白饮食有关,其中心为不规则蛋白网架和碳酸钙的沉淀。B超可作为首选的影像学诊断方法,CT对确定诊断和设计手术方案有重要意义。 Twenty-eight patients suffering from pancreatic stones from 1979 to 1995 were hospitalized.Ascariasis in main pancreatic duct,alcohol drinking, chronic pancreatitis,and protein malnutrition were among major causes.The stone consists of irregular central protein network and sediment of calcium carbonate.Ultrasonic examination is first choice.CT scan may establish diagnosis and help in designing surgical approach.Twenty-three cases underwent surgery, including transpancreatic duct lithotomy,pancreatico-nitestinal anastomosis in 14 cases, body-tail pancreateetomy in 3 cascs,pancre aticoduodenectomy in one case. The results were satisfactory.
出处 《中华普通外科杂志》 CSCD 1997年第4期221-223,共3页 Chinese Journal of General Surgery
关键词 胰腺结石 引流术 病因 诊断 Pancreas Calculi Drainage
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同被引文献51

  • 1赵向前,冯玉泉,周宁新,顾万清,张文智,黄晓强.胰管结石19例临床分析[J].中华肝胆外科杂志,2004,10(6):392-394. 被引量:9
  • 2秦运升,李兆申,孙振兴,吴仁培,王娜,姚银珍.胰管结石85例的内镜诊治[J].世界华人消化杂志,2004,12(7):1754-1755. 被引量:3
  • 3薛佩莲,胡家露,樊代明,高志清,李开宗,窦科峰,吴开春,孙安华.胰管结石引起反复上消化道大出血一例[J].中华内科杂志,1996,35(7):488-488. 被引量:3
  • 4涂朝勇,刘雷,骆晓鸿,黄志勇.胰管结石诊治体会(附29例报告)[J].中华普通外科杂志,2005,20(11):696-697. 被引量:7
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  • 6Deviere J, Delhaye M, Cremer M, et al. Pancreatic duct stones management. Gastrointest Endosc Clin N Am, 1998, 8..163-179.
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