中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2015年
1期
7-10
,共4页
赵法之%谢思明%陈拥华%蔡云强%王幸%柯能文%刘续宝
趙法之%謝思明%陳擁華%蔡雲彊%王倖%柯能文%劉續寶
조법지%사사명%진옹화%채운강%왕행%가능문%류속보
胰腺炎,慢性%外科手术%病理学,临床
胰腺炎,慢性%外科手術%病理學,臨床
이선염,만성%외과수술%병이학,림상
Pancreatitis,chronic%Surgical procedure,operative%Pathology,clinical
目的 探讨慢性胰腺炎手术治疗方案的选择.方法 回顾性分析华西医院2009年3月至2013年11月收治的慢性胰腺炎手术患者229例,总结其临床资料与随访信息,比较手术治疗疗效.结果 229例患者依据不同病变类型分别行引流术或切除术两类手术.57例行纵向胰管切开胰肠吻合术,118例行胰头部分切除胰肠吻合术(Frey法105例,Berne法6例,Beger法7例),7例行胰十二指肠切除术,21例行胰体尾切除术,26例行其他手术.术后疼痛缓解率89.3%,总并发症发生率19.6%.结论 慢性胰腺炎的不同术式有其特定适应证,应根据其病变类型选择手术方式以保证手术疗效.
目的 探討慢性胰腺炎手術治療方案的選擇.方法 迴顧性分析華西醫院2009年3月至2013年11月收治的慢性胰腺炎手術患者229例,總結其臨床資料與隨訪信息,比較手術治療療效.結果 229例患者依據不同病變類型分彆行引流術或切除術兩類手術.57例行縱嚮胰管切開胰腸吻閤術,118例行胰頭部分切除胰腸吻閤術(Frey法105例,Berne法6例,Beger法7例),7例行胰十二指腸切除術,21例行胰體尾切除術,26例行其他手術.術後疼痛緩解率89.3%,總併髮癥髮生率19.6%.結論 慢性胰腺炎的不同術式有其特定適應證,應根據其病變類型選擇手術方式以保證手術療效.
목적 탐토만성이선염수술치료방안적선택.방법 회고성분석화서의원2009년3월지2013년11월수치적만성이선염수술환자229례,총결기림상자료여수방신식,비교수술치료료효.결과 229례환자의거불동병변류형분별행인류술혹절제술량류수술.57례행종향이관절개이장문합술,118례행이두부분절제이장문합술(Frey법105례,Berne법6례,Beger법7례),7례행이십이지장절제술,21례행이체미절제술,26례행기타수술.술후동통완해솔89.3%,총병발증발생솔19.6%.결론 만성이선염적불동술식유기특정괄응증,응근거기병변류형선택수술방식이보증수술료효.
Objective To evaluate surgical therapies for chronic pancreatitis.Method The clinical data of 229 patients admitted for chronic pancreatitis during March 2009 to November 2013 in our hospital was retrospectively analyzed,different operation method and their clinical outcome were compared.Results Drainage operations or resection operations were made to all these 229 patients according to different types.57 patients underwent longitudinal pancreaticojejunostomy (LPJ procedure).118 patients received local resection of the head of pancreas combined with longitudinal pancreaticojejunostomy (Frey procedure in 105 cases,Berne procedure in 6 cases,Beger procedure in 7 cases).7 patients received pancreaticoduodenectomy,21 patients received distal pancreas resection,26 patients received other procedures.Post-operative pain relief rate was 89.3%,overall morbidity was 19.6%.Conclusions In cases of chronic pancreatitis,different surgical types are adopted according to their individual indications.Operation in accordance with pathological types guarantees clinical outcome.