期刊文献+

慢性胰腺炎外科治疗难点探讨 被引量:6

Difficulty in surgical treatment of chronic pancreatitis
原文传递
导出
摘要 慢性胰腺炎的外科治疗效果明确,但仍然存在一些难点。主要包括胰头肿块型慢性胰腺炎的手术策略和外科手术与内镜治疗的选择两个方面。前者需要规范诊治流程、力争获得病理诊断、甚至组织专家会诊以资鉴别。后者则需注重手术与内镜的协作、严格掌握操作适应证。总之,慢性胰腺炎的治疗应当以缓解患者症状、纠正并发症和提高生活质量为目的。根据患者情况选择个体化的治疗方式,注意外科手术与内镜治疗的配合互补,以期达到更好的治疗效果。 Surgical resection is the most effective procedure for chronic pancreatitis.However,the surgical treatment of chronic pancreatitis with a mass in the head of the pancreas is still difficult and the choice between open surgery and endoscopic treatment for chronic pancreatitis remains controversial.Following the standard procedure of diagnosis and treatment,pathologic diagnosis and expert consultation are helpful for the selection of surgical strategy.The cooperation of open surgery and endoscopic treatment are advocated and the indications of operation procedures should be followed strictly.In summary,the treatment of chronic pancreatitis should aim at the alleviation of clinical symptoms,the correction of complications and the improvement of life quality.Establishment of individual treatment schemes,and the cooperation of surgery and endoscopic treatment could improve the treatment of chronic pancreatitis.
作者 廖泉 赵玉沛
出处 《中华普外科手术学杂志(电子版)》 2011年第1期20-22,共3页 Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词 胰腺炎 慢性 外科治疗 Chronic pancreatitis Surgical procedures
  • 相关文献

参考文献11

  • 1Jupp J,Fine D,Johnson CD.The epidemiology and socioeconomic impact of chronic pancreatitis.Best Pract Res Clin Gastroenterol,2010,24(3):219-231.
  • 2杨盈赤,廖泉,赵玉沛.胰腺癌血清肿瘤标志物的研究近况[J].腹部外科,2007,20(3):186-187. 被引量:3
  • 3赵玉沛.胰头部肿块鉴别诊断和临床对策[J].中国实用外科杂志,2009,29(8):619-621. 被引量:11
  • 4Agarwal B,Krishna NB,Labundy JL,et al.EUS and/or EUS-guided FNA in patients with CT and/or magnetic resonance imaging findings of enlarged pancreatic head or dilated pancreatic duct with or without a dilated common bile duct.Gastrointest Endosc,2008,68(2):237-242.
  • 5Singer E,Gschwantler M,Plattner D,et al.Differential diagnosis of benign and malign pancreatic masses with 18F-fluordeoxyglucose-positron emission tomography recorded with a dual-head coincidence gamma camera.Eur J Gastroenterol Hepatol,2007,19(6):471-478.
  • 6苗毅,陈建敏.胰头部肿块的病理学依据与手术决策[J].中国实用外科杂志,2009,29(8):637-639. 被引量:9
  • 7Ihse I,Axelson J,Dawiskiba S,et al.Pancreatic biopsy:why? When? How? World J Surg,1999,23(9):896-900.
  • 8Weber A,Schneider J,Neu B,et al.Endoscopic stent therapy for patients with chronic pancreatitis:results from a prospective follow-up study.Pancreas,2007,34(3):287-294.
  • 9Boerma D,van Gulik TM,Rauws EA,et al.Outcome of pancreaticojejunostomy after previous endoscopic stenting in patients with chronic pancreatitis.Eur J Surg,2002,168(4):223-228.
  • 10Cahen DL,Gouma DJ,Nio Y,et al.Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis.N Engl J Med,2007,356(7):676-684.

二级参考文献30

  • 1Koji Yamaguchi,Munechika Enjoji,Manabu Nakashima,Makoto Nakamuta,Takashi Watanabe,Masao Tanaka.Novel serum tumor marker, RCASl, in pancreatic diseases[J].World Journal of Gastroenterology,2005,11(33):5199-5202. 被引量:12
  • 2唐伟东,沈洪薰,陈钟,陈玉泉.胰头及壶腹周围肿块274例诊断分析[J].肝胆胰外科杂志,2005,17(4):296-297. 被引量:3
  • 3刘允怡,赖俊雄.胰头肿块的处理[J].胰腺病学,2006,6(1):1-4. 被引量:8
  • 4廖泉,赵玉沛,杨盈赤,李丽君,韩少梅.肿瘤标志物在胰头实性占位病变鉴别诊断中的意义[J].中华普通外科杂志,2006,21(9):623-625. 被引量:9
  • 5Wong JC, Lu DS. Staging of pancreatic adenocarcinoma by imaging studie [J].Clin Gastroenterol Hepatol,2008,6(12): 1301-1308.
  • 6Mansfield SD, Scott J, Oppong K, et al. Comparison of muhislice computed tomography and endoscnpic ultrasonography with operalive and histological findings in suspected pancreatic and periampullary malignancy[J]. Br J Surg,2008,95(12): 1512-1520.
  • 7Kim T, Murakami T, Takamura M, et al. Pancreatic mass due to chronic pancreatitis: correlation of CT and MR imaging features with pathologic findings [J]. Am J Roentgenol, 2001,177(2): 367-371.
  • 8Birchard KR, Semelka RC, Hyslop WB,et al. Suspected pancreatic cancer: evaluation by dynamic gadolinium-enhanced 3D gradient-echo MRI [J ]. Am J Rnentgenol,2005,185(3):700-703.
  • 9Ichikawa T, Erturk SM, Motosugi U, et al. High-b value diffusion-weighted MRI for detecting pancreatic adenocarcinoma: preliminary results [J]. Am J Roentgenol, 2007,188(2):409-414.
  • 10Lytras D, Connor S, Bosonnet L, et al. Positron emission tomography does not add to computed tomography for the diagnosis and staging of pancreatic cancer [J]. Dig Surg,2005,22(1-2): 55-61.

共引文献29

同被引文献104

引证文献6

二级引证文献20

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部