慢性胰腺炎外科诊治

目的 探讨慢性胰腺炎临床特点,选择合适外科治疗方式.方法 回顾分析1980年1月至2006年1月手术治疗91例慢性胰腺炎临床资料.结果 91例中胆源性34例(37.4%),酒精性15例(16.5%),创伤性8例(8.8%),急性胰腺炎14例(15.3%),原因不明20例(22%).反复上腹痛是慢性胰腺炎主要临床表现.除2例经ERCP十二指肠乳头括约肌切开术外,89例行外科手术,死亡1例,手术并发症6例,占6.6%,术后88例病人腹痛等症状明显减轻,平均住院17.7d.结论 外科治疗应根据病因、病理变化、临床表现、影像学结果,选择正确术式,重点解除疼痛,处理原发病及并发症,排除恶性肿瘤.

Surgical treatment of chronic pancreatitis

Objective To investigate the clinical manifestations of chronic pancreatitis(CP)and choice of the surgical therapy. Methods The clinicopathological and follpw-up data in 91 cases surgically treated in our hospital from January 1980 to January 2006 were retrospectively analyzed.Resuits The causes for CP were biliogenic one in 34 patients(37.4%),alcohol in 14(15.3%),iniury in 8(8.8%),acute pancreatitis in 14(15.3%)and idiopathic one in 20(22%).RelaPsing upper abdominal pain was the major symptom of CP.There were only two patients that were up with endoscopic sphincterotomy(EST)and the others were operated on.The operative morbiditv was 6.6%(n=6),and mortality 1.1%(n=1).Mean hospital stay was 17.7d.For the 9l patients with preoperative pain,the pain was relieved in 88.Conclusion The best operative procedure should be chosen for treatment of CP according to causes,clinical findings,imaging records and pathological examination.