CAJ | 학술논문

目的：探讨不同方法治疗成人无腹痛慢性胰腺炎的临床疗效。方法：选取我院收治的50例成人无腹痛慢性胰腺炎患者作为研究对象，对其临床治疗方法、治疗效果等临床资料进行回顾性分析。结果：22例腺周或胰腺占位患者均行外科手术，经治疗，消化不良、黄疸、体重下降人数较治疗前明显减少（P<0.05）。25例胰管结石伴胰管扩张/胰头部狭窄患者行内镜、外科手术、外科手术+内镜介入、保守治疗。内镜和外科手术治疗的患者，治疗后的体重下降人数均比治疗前明显减少，P<0.05。3例CP胰管改变伴胰腺囊肿患者，2例行内镜介入治疗，1例行外科手术。结论：对于成人无腹痛性慢性胰腺炎胆管结石，采用外科手术和内镜手术治疗的效果相当，对于腺周或胰腺占位的慢性胰腺炎，则宜行外科手术。
목적：탐토불동방법치료성인무복통만성이선염적림상료효。방법：선취아원수치적50례성인무복통만성이선염환자작위연구대상，대기림상치료방법、치료효과등림상자료진행회고성분석。결과：22례선주혹이선점위환자균행외과수술，경치료，소화불량、황달、체중하강인수교치료전명현감소（P<0.05）。25례이관결석반이관확장/이두부협착환자행내경、외과수술、외과수술+내경개입、보수치료。내경화외과수술치료적환자，치료후적체중하강인수균비치료전명현감소，P<0.05。3례CP이관개변반이선낭종환자，2례행내경개입치료，1례행외과수술。결론：대우성인무복통성만성이선염담관결석，채용외과수술화내경수술치료적효과상당，대우선주혹이선점위적만성이선염，칙의행외과수술。
Objective: To investigate the clinical effect of different methods in treatment of adult patients with no abdominal pain and chronic pancreatitis. Methods: 50 cases of adult patients with chronic pancreatitis in our hospital were selected as the research object, and the clinical data were retrospectively analyzed.Results: all 22 patients underwent surgical operation, and the number of patients with dyspepsia, jaundice and weight loss was signiifcantly decreased (P<0.05). 25 cases of pancreatic duct stones with pancreatic duct dilatation / pancreatic head stenosis patients underwent endoscopic, surgical operation, surgical operation plus endoscopic intervention, conservative treatment. In patients treated with endoscopy and surgery, the number of weight loss after treatment was signiifcantly decreased,P<0.05. 3 cases of CP pancreatic duct changes with pancreatic cyst, 2 cases underwent endoscopic interventional therapy, 1 cases underwent surgical operation.Conclusion: the effect of surgical and endoscopic surgical treatment is quite effective for the treatment of adult patients with no abdominal pain or abdominal pain.