慢性胰腺炎外科诊治

目的 探讨慢性胰腺炎临床特点,选择合适的外科治疗方式。方法 回顾分析46例慢性胰腺炎（CP）临床资料。结果 病因：胆源性18例（39．1％）,酒精性7例（17．4％）,创伤性3例（6．5％）,急性胰腺炎5例（10．8％）,原因不明12例（26．1％）。主要临床表现：疼痛43例,脂肪泻1例,体重下降10例,包块6块,黄疸11例,糖尿病2例。除2例经ERCP十二指肠乳头的肌切开术外,44例行外科手术,42例症状缓解,2例无效,2例死亡。结论 慢性胰腺炎外科治疗应根据病因、病理变化、临床表现、影像学结果,选择个体化术式,着重于解除疼痛、处理原发病及并发症。

DIAGNOSIS AND TREATMENT OF CHRONIC PANCREATITIS

Objective To explore the climical manifestations of cpand to choice the surgerical therapy.Methods Retrospeetive analysis of 46 cases cp was performed.Results In 46 of cases,Chronic pancreatitis result from biliogenic 39.1%(n=8),alcholism 17.4(n=7),injury 6.5%(n=3),acute pancreatitis 10.8%(n=5),and unknown carse 26.1%(n=12).The patients present with the prominent critical findings,including pain 43 cases,fatty-stool 11 cases,weight loss 10 cases,abdominal masses 6 case jaundice 11 cases,diabetics 2 cases.There were only two patients that were up with Endoscopic sphincterotomy (Es),the others were operated.Among them,besides no effect in two cases and two cases death,and 42 cases had good change.Conclusion The principal causes are biliogenic,spicial and alcoholism,and diagnostic procedures were in charge of X-rays findings,surgical treatments are performed personally,accordering to the facts that are the canses pathological examination,Imaging recorders and clinical findings.Surgical operation does not only set free pain,do with causes and complications,but also get to the early diagnosis of malignant lesions.