胰头肿块型慢性胰腺炎的治疗

胰头肿块型慢性胰腺炎已被视为胰腺癌的癌前病变，并且可以导致胰管、胆管及十二指肠梗阻，其与胰头癌的鉴别诊断困难，然而二者的预后截然不同。因此，胰头肿块型慢性胰腺炎一旦诊断明确即应积极手术治疗，以切除病变，缓解疼痛症状，改善病人的生活质量。胰头部肿块型慢性胰腺炎的手术方式是直接针对胰头的，不同的手术方法包括胰十二指肠切除术（保留或不保留幽门的Whipple 手术）和保留十二指肠的胰头切除术（Beger手术及其改良术式）。手术方式尽可能采用胰十二指肠切除术，不仅切除了胰头部肿块、解除了胆道、胰管及十二指肠的梗阻，而且也去除了胰头癌的潜在病因；如胰头肿块巨大，行胰十二指肠切除术有极大风险，可考虑行保留十二指肠的胰头切除术。

Treatment of Chronic pancreatitis(CP) with an inflammatory mass

Chronic pancreatitis(CP) with an inflammatory mass has been thought of as a precancerous lesion of pancreatic cancer, and it can lead to obstruction of the pancreatic duct, bile duct and duodenum. The CP with mass and pancreatic cancer are difficult to identify from clinical performance, and their prognosis are very different. Once CP with mass has been diagnosed it should be clear that surgical treatment is necessary in order to remove the focus, ease pain, and improve the patient's quality of life. Surgic...