CAJ | 학술논문

目的：探讨慢性胰腺炎的外科治疗方法。方法报道我院近期手术治疗的2例慢性胰腺炎患者的病例资料，并复习相关文献。结果2例患者均因腹痛入院，其中1例伴有阻塞性黄疸。患者均为男性，年龄分别为51、53岁，均有常年吸烟史及大量饮酒史，其中1例患者既往有7次胰腺炎病史，另1例患者哥哥因胰腺癌去世。完善辅助检查发现两者均有胰头部多发钙化灶、胰头假性囊肿，并伴有胰管、胆管扩张及胰管结石。术中发现2例患者胰腺全程质硬，胰头部尤甚，均行胰十二指肠联合切除术。无术中、术后并发症，患者均痊愈出院，随访至今未发现疼痛复发、继发糖尿病及恶变。结论对于需要外科手术治疗的慢性胰腺炎患者，术前应规范诊断流程，并遵循个体化原则，同时要与患者及家属进行有效的沟通，取得家属的理解、信任与支持，谨慎选用术者最有把握的术式，最大程度地降低并发症的发生率。
목적：탐토만성이선염적외과치료방법。방법보도아원근기수술치료적2례만성이선염환자적병례자료，병복습상관문헌。결과2례환자균인복통입원，기중1례반유조새성황달。환자균위남성，년령분별위51、53세，균유상년흡연사급대량음주사，기중1례환자기왕유7차이선염병사，령1례환자가가인이선암거세。완선보조검사발현량자균유이두부다발개화조、이두가성낭종，병반유이관、담관확장급이관결석。술중발현2례환자이선전정질경，이두부우심，균행이십이지장연합절제술。무술중、술후병발증，환자균전유출원，수방지금미발현동통복발、계발당뇨병급악변。결론대우수요외과수술치료적만성이선염환자，술전응규범진단류정，병준순개체화원칙，동시요여환자급가속진행유효적구통，취득가속적리해、신임여지지，근신선용술자최유파악적술식，최대정도지강저병발증적발생솔。
Objective To probe into the surgical treatment of chronic pancreatitis. Methods Clinical data from 2 pa-tients with chronic pancreatitis undergone surgeries in recent time were reported in our hospital and related literature was reviewed. Results They were admitted into our hospital due to abdominal pain,and one of them occurred with ob-structive jaundice.They were both male at the age of 51 and 53 years old,with histories of smoking and alcohol drink-ing.One case had a medical history of pancreatitis attacked 7 times,and the other case whose elder brother passed away due to pancreatic cancer.The improved auxiliary examinations revealed that multiple calcifications in pancreatic head and pseudocyst of pancreatic head accompanying with dilatation of pancreiatic duct and bile duct and pancreatic duct stones in both cases.The pancreas was total hard in texture,especially in pancreatic head during surgery in the two cas-es,which was both performed with pancreatoduodenectomy.There was no complication occurred during or after surgery, and they were cured and discharged from the hospital.There was no recurred pain,secondary diabetes or malignant transformation till now after follow-up visits. Conclusion For patients with chronic pancreatitis being necessary for sur-gical treatment,the diagnostic procedures should be standardized before surgery and principle of individuation should be abided by.At the same time,effective communication with patients and their families is advocated in order to get family’s understanding,trust,and support.The most confident surgical method is carefully applied by the operator aiming at mini-mizing the incidence of complications.