• 1. 華西醫(yī)科大學附屬第一醫(yī)院肝膽胰研究室(成都610041)△ 華西醫(yī)科大學7年制碩士生，現在天津醫(yī)學院附屬腫瘤醫(yī)院2. 重慶市墊江縣中醫(yī)院外科3. 四川省樂山市人民醫(yī)院急救中心;

為了解慢性胰腺炎(chronic pancreatitis, CP)的治療現狀，回顧性地分析過去10年收治的慢性胰腺炎患者116例的資料，其中81例經手術治療，35例為保守治療。結果顯示： 外科治療組腹痛緩解明顯優(yōu)于保守治療組(Ｐ＜0.05)，而療效綜合評價，兩組間差異無顯著性意義(Ｐ＞0.05)。術后患者內外分泌功能繼續(xù)受損害，糖尿病和腹瀉發(fā)生率明顯增加。由乙醇性、膽源性和特發(fā)性3種病因所致CP的患者，5年生存率分別為56.3%、92.2%和78.1%。由此提示： 伴隨有膽胰管梗阻的慢性胰腺炎患者應爭取早日手術治療，可有效地緩解腹痛癥狀。

引用本文： 佟衛(wèi)剛,盧實春,胡驥,陳鵬,烏建平,嚴律南. 慢性胰腺炎的外科治療及遠期療效. 中國普外基礎與臨床雜志, 1999, 6(6): 347-348. doi: 復制

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  1. 1. Gu AY, Zhang KH. Chronic pancreatitis in china. Etiology and management. World J Surg, 1990; 14(5)∶28.
  2. 2. 王有鳳， 肅樹東， 江紹基. 慢性胰腺炎分類的探討(附71例分析). 中華內科雜志， 1987； 26(11)∶627.
  3. 3. Adams DB, Ford MC, Anderson MC. Outcome after lateral pancreatojejunostomy for chronic pancreatitis. Ann Surg, 1994; 219(5)∶481.
  4. 4. Wilson TG, Hollands MJ, Little JM. Pancreatojejunostomy for chronic pancreatitis. Aust NZJ Surg, 1992; 62(2)∶111.
  5. 5. Rattner DW, Fernandez Del, Castillo C, et al. Pitfalls of distal pancreatectomy for relief of pain in chronic pancreatitis. Am J Surg, 1996; 171(1)∶142.
  6. 6. Jalleh RP, Willamson RC. Pancreatitis exocrine and endocrine function after operations for chronic pancreatitis. Ann Surg, 1992; 216(6)∶656.
  7. 7. Ammann RW. Natural history of chronic pancreatitis. Dig Surg, 1994; 11(6)∶267.
  8. 8. Layer DH, Dimagno EP. Natural history of alcoholic and idiopathic chronic pancreatitis. Pancreas, 1996; 12(3)∶318.