CAJ | 학술논문

目的比较Frey与Beger手术治疗慢性胰腺炎的临床疗效.方法回顾性分析四川大学华西医院1999年1月至2009年6月收治的行Beger(38例)及Frey(32例)手术治疗的慢性胰腺炎患者的临床资料,并对术后疼痛及胰腺的内外分泌功能状况进行比较.结果 Frey及Beger组围手术期并发症发生率分别为12.5%和7.9%(P=0.52);总疼痛缓解率为96.8%和94.7%(P=0.57);术后糖尿病发生率分别为12.5%和21%(x2=0.90,P=0.34),脂肪泻发生率分别为12.5%和18.6%(x2=0.15,P=0.70).结论 Frey及Beger手术可同等有效的改善慢性胰腺炎患者的症状,围手术期并发症、术后疼痛缓解率及内外分泌功能状况无显著差异,手术方式的选择应建立在对患者个体化治疗的基础上.
목적 비교Frey여Beger수술치료만성이선염적림상료효.방법 회고성분석사천대학화서의원1999년1월지2009년6월수치적행Beger(38례)급Frey(32례)수술치료적만성이선염환자적림상자료,병대술후동통급이선적내외분비공능상황진행비교.결과 Frey급Beger조위수술기병발증발생솔분별위12.5%화7.9%(P=0.52);총동통완해솔위96.8%화94.7%(P=0.57);술후당뇨병발생솔분별위12.5%화21%(x2=0.90,P=0.34),지방사발생솔분별위12.5%화18.6%(x2=0.15,P=0.70).결론 Frey급Beger수술가동등유효적개선만성이선염환자적증상,위수술기병발증、술후동통완해솔급내외분비공능상황무현저차이,수술방식적선택응건립재대환자개체화치료적기출상.
Objective To analyse clinical efficacy of Frey and Bger procedures for chronic pancreatitis. Methods Clinical data of seventy patients of chronic pancreatitis undergoing Frey (32 cases) and Beger Procedures (38 cases) in our hospital from January 1999 to June 2009 were retrospectively analyzed,the rate of pain relief and endocrine and exocrine function of the pancreas in longterm follow-up were compared with each other. Results Overall perioperative morbidity for Frey group and Beger group was 12. 5% and 7.9% respectively (P =0. 52); Total pain relief rate in long-term follow-up was 96. 8% and 94. 7% respectively (P =0. 57). Postoperative de novo diabetes mellitus was 12. 5% and 21% ( x2 = 0. 90, P = 0. 34), Rate of steatorrhea was 12. 5% and 18.6% respectively ( x2 = 0. 15, P =0. 70). Conclusions Frey and Beger procedures were equally effective in improving symptoms of chronic pancreatitis and there were no significant differences in perioperative morbidity, rate of pain relief and function of endocrine and exocrine of the pancreas.