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慢性胰腺炎合并胰管结石的诊断和治疗

苗毅 蒋奎荣

中国实用外科杂志2011,Vol.31Issue(9):800-803,4.
中国实用外科杂志2011,Vol.31Issue(9):800-803,4.

慢性胰腺炎合并胰管结石的诊断和治疗

Diagnosis treatment of chronic pancreatitis combinded with pancreatic duct stones

苗毅 1蒋奎荣1

作者信息

  • 1. 南京医科大学第一附属医院胆胰外科,江苏,南京,210029
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摘要

Abstract

Chronic pancreatitis is a progressive fibroinflammatory disease with sustained damage of structure and function of pancreatic tissue, which results from a complex mix of causes (eg, alcohol, Biliary diseases), and often exists with intraductal calculi. Pain in the form of recurrent attacks of pancreatitis or constant and disabling pain is usually the main symptom. Steatorrhoea, diabetes, local complications associated with the disease are additional therapeuticchallenges. Combined with a variety of imaging methods such as BUS, CT, ERCP and MRCP, etc. Can significantly improve the diagnosis of chronic pancreatitis with pancreatic duct stone. Chronic pancreatitis with pancreatic duct stones should be actively treated, of which the focus is to control symptoms, improve function and treatment of complications with individual therapy. The appropriate surgery should be performed as soon as possible according to distribution of stone when the stone removal is not complete or recrudescent after extracorporeal shock wave lithotripsy and endoscopic. Completely removing the lesion, taking out all the stones, removing the pancreas and bile duct obstruction, fully drainage of pancreatic juice and trying to save the pancreatic tissues are the goal of the surgery, which can significantly improve quality of life of patients.

关键词

慢性胰腺炎/胰管结石

Key words

chronic pancreatitis/ pancreatic duct stone

分类

医药卫生

引用本文复制引用

苗毅,蒋奎荣..慢性胰腺炎合并胰管结石的诊断和治疗[J].中国实用外科杂志,2011,31(9):800-803,4.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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