摘要
本文总结了15例胰腺结石病人的诊断和治疗,结果表明,胰腺结石的诊断主要依赖于影像诊断(腹部X平片+B超或CT+ERCP检查)。外科手术切开胰腺取石,胰管空肠Roux—Y吻合术是目前治疗胰腺结石较好的方法。胰腺结石易合并糖尿病和引起癌变。本文还就外科治疗过程中应注意的问题展开讨论。
There were 15 patients in the group ,male patients 10 and female patients 5. Ages were19 -75,meam age was 43. Clinic data:chief complaints were pains in upper abdomen (11 cases)and main symptom of diabetes(4cases). Meam Blood sugar of the latters was 14mmol/Lbefore breakfast ,Urine sugar were negative. All patients were examined by x -ray in the abdomen ,sonography or CT,and ERCP besides 2 cases. The results showed:the diameter of main pancreatic ducts was 0. 5 - 2. 5cm. The stones of the pancreases were situated in the head of pancreas (3 cases Hail of pancreas (1 cases) ,the head and tail of pancreas (1 cases). Extensive pancreatic stones (10 cases). Operation methods; (l)exploration and lithotomy of pancreatic and pancreaticojejunostomy (10 cases). (2)Whipple*s operation (leases). (3)partial pancreatectomy (1 cases). (4)else(3 cases). We think sonography ,X -ray in the abdomen and ERCP examination are better measures of diagnoais of pancreaticstones. Surgical treatment is better methods of treatment of pancreatic stones.
出处
《肝胆外科杂志》
1996年第2期86-88,共3页
Journal of Hepatobiliary Surgery
关键词
胰腺结石
诊断
外科手术
Pancreatic stone Diabete Pancreatic cancer
