摘要
目的 总结慢性胰腺炎 (chronic pancreatitis,CP)的外科治疗经验 ,提高手术疗效。 方法回顾性分析 1992年 3月 ～ 2 0 0 2年 5月手术治疗的 138例慢性胰腺炎患者的临床资料。 结果 所有患者均接受了手术治疗 ,无手术死亡。术后发生胰瘘 3例 ,吻合口出血 2例 ,并发症发生率为 3.6 %。术后 97.8%的患者腹痛明显减轻。 12 4例 (89.9% )获 1～ 9年随访 ,平均随访 4 .9年 ,13例症状复发 ,复发率为 10 .5 %。新发糖尿病 7例 ,脂肪泻 5例 ,死亡 5例 ,其中死于 CP并发症 2例。 结论 手术可以延缓慢性胰腺炎的自然进程 ,而适当的术式能改善患者的生活质量。
Objective To summarize the experience of surgical treatment for chronic pancreatitis (CP) and improve the operative outcome. Methods 138 patients with CP who underwent surgical treatment in this hospital from March 1992 to May 2002 were analyzed retrospectively. Results Relapsing upper abdominal pain was the cardinal symptom of CP. All patients were treated surgically,in whom three patients developed pancreatic fistula and two had anastomotic hemorrhage postoperati-vely. The morbidity rate was 3.6%. Pain was relieved in 97.8% patients. 124 patients (89.9%) were followed up for 1 ～ 9 years (mean 4.9 years). Recurrence was seen in 13 patients (10.5%). Seven patients developed diabetes mellitus and five patients had fat-diarrhea within the follow-up period. Five patients died,in whom two patients died of complications of CP. Conclusions Timing of operation and selection of operation modality are of critical importance in modifying the course of the disease and improving patients′ quality of life.
出处
《胰腺病学》
2004年第1期2-4,共3页
Chinese JOurnal of Pancreatology
