CAJ | 학술논문

目的探讨胰头肿块型慢性胰腺炎的诊断和外科术式的选择.方法回顾性分析2007年1月-2011年12月15例胰头肿块型慢性胰腺炎的病例资料.结果 15例患者均行手术治疗,12例行胰十二指肠切除手术,1例行Frey手术,1例行胆总管空肠Roux-en-Y吻合术,1例行胆总管十二指肠侧侧吻合.发生术后并发症2例,1例发生胆瘘和坏疽性胆囊炎；另1例为急性心肌梗死；其余13例患者术后恢复顺利,多于术后2周内痊愈出院.术后病理诊断12例为慢性胰腺炎,3例为胰腺癌.结论本病主要症状为腹痛；CT是首选检查方法,术前难以判断胰头肿块性质；建议早期手术治疗,手术方式尽可能地采用胰十二指肠切除术.
목적 탐토이두종괴형만성이선염적진단화외과술식적선택.방법 회고성분석2007년1월-2011년12월15례이두종괴형만성이선염적병례자료.결과 15례환자균행수술치료,12례행이십이지장절제수술,1례행Frey수술,1례행담총관공장Roux-en-Y문합술,1례행담총관십이지장측측문합.발생술후병발증2례,1례발생담루화배저성담낭염；령1례위급성심기경사；기여13례환자술후회복순리,다우술후2주내전유출원.술후병리진단12례위만성이선염,3례위이선암.결론 본병주요증상위복통；CT시수선검사방법,술전난이판단이두종괴성질；건의조기수술치료,수술방식진가능지채용이십이지장절제술.
Objective To Explore the diagnostic and surgical procedures of chronic pancreatitis(CP) with mass in the head of the pancreas.Methods A retrospective analysis of clinical data of 15 patients of CP with mass in the head was conducted from January 2007 to December 2011.Results The operation performed in 15 patients,pancreatoduodenectomy was preferred in most case(12/15),one case for Frey surgery,one case for common bile duct and duodenal side to side anastomosis,one case for common bile duct and jejunum Roux-en-Y anastomosis surgery.2 cases had complications in postoperative,one cases for bile leakage and gangrenous cholecystitis; the other case for acute myocardial infarction; the other 13 patients recovered uneventfully,most cases were discharged after 2 weeks post operative.Conclusions The main symptoms is upper abdominal pain.CT is currently recommended of examination,but to accurately determine the nature of mass in the head of the pancreas is still difficult ;surgical treatment should be performed early,and Pancreatoduodenectomy should be adopted as far as possible.