异位胰腺的外科诊治（附21例报告）

目的探讨异位胰腺的临床诊断与外科处理要点,提高异位胰腺的外科诊治水平。方法回顾性分析1996年1月至2006年2月间我院收治的21例经病理证实的异位胰腺病例资料,对其临床诊断及外科处理进行临床分析,并结合文献讨论。结果21例异位胰腺异位于十二指肠的9例,胃7例,空肠3例,肠系膜2例,均为单发。根据临床表现分型,梗阻型4例,出血型1例,溃疡型1例,肿瘤型3例,憩室型1例,隐匿型11例。分别行胃部分切除术、肠切除术、胰十二指肠切除术、肿块切除。手术后,由异位胰腺引起的临床症状均缓解。结论异位胰腺临床表现复杂多样,并发症多,常易被误诊和漏诊,当症状明显时,应积极手术治疗。

Diagnosis and surgical treatment of heterotopic pancreas :a report of 21 cases

Objective To explore and discuss the clinical features of patients with heterotopic pancreas,their diagnosis and surgical treatment. Methods The therapeutic result of 21 cases admitted from January 1976 to February 2006 was reviewed retrospectively. Results Of the 21 patients,9 had heterotopic pancreas located in the duodenum,3 in the jejunum,2 in the mesenterium,and 7 in the stomach. They underwent surgery and were confirmed pathologically. Conclusion Heterotopic pancreas is extremely difficult to diagnose before operation since no specific clinical signs are seen in such patients. Once diagnosed,the patients should undergo surgery for correct diagnosis and avoid of relative complications.