以急性胰腺炎为始发症状的胰腺占位病变的诊治:附12例分析
发布时间：2018-10-19 20:52
【摘要】：目的:总结始发症状为急性胰腺炎(AP)的胰腺占位性病变的临床特点,以期为今后该类情况的诊治提供借鉴。方法:收集内蒙古医科大学附属医院于2010年9月—2014年10月收治的12例典型上述病例资料,对其临床表现、实验室指标、影像学特点等多项参数进行综合分析。结果:12例患者均诊断为AP入院;男女性别比列为11:1,明显高于胰腺癌发病的性别比(1.4:1);12例(100%)尿淀粉酶均显著增高(1500IU/L),伴明显腰部放射痛8例(66.7%),CA19-9升高6例(50.0%);胆红素增高6例(50.0%),胰管扩张7例(58.3%);5例获根治性手术,其余因失去根治手术机会行非手术或姑息手术治疗,其中1例(8.3%)姑息手术术后病理确诊慢性胰腺炎。结论:在AP患者中,男性患者、尿淀粉酶持续增高、伴有腰部放射痛、轻度胰管扩张、黄疸持续不退等对胰腺占位病变的诊断有提示作用。
[Abstract]:Objective: to summarize the clinical features of pancreatic occupying lesions with primary symptom of acute pancreatitis (AP) in order to provide reference for the diagnosis and treatment of acute pancreatitis. Methods: the data of 12 typical cases from September 2010 to October 2014 in affiliated Hospital of Inner Mongolia Medical University were collected, and the clinical manifestations, laboratory indexes and imaging features were analyzed. Results: all the 12 patients were diagnosed as AP. The ratio of male to female was 11: 1, which was significantly higher than that of pancreatic cancer (1.4: 1), 12 cases (100%) were significantly higher in urine amylase (1500IU/L), 8 cases (66.7%) were accompanied with obvious loin radiodynia, 6 cases (50.0%) were elevated CA19-9, 6 cases (50.0%) were bilirubin, 7 cases (58.3%) were dilatation of pancreatic duct, 5 cases received radical operation. The other patients were treated with non-operative or palliative operation because of the loss of radical operation. One case (8.3%) with chronic pancreatitis was diagnosed by pathology after palliative operation. Conclusion: in male patients with AP, the continuous increase of urine amylase, radiodynia in the waist, mild dilatation of pancreatic duct and persistent jaundice are helpful in the diagnosis of pancreatic space occupying lesions.
【作者单位】： 内蒙古医科大学附属医院普通外科;
【基金】：内蒙古医科大学附属医院重大科研资助项目(NYFYYB2014015)
【分类号】：R657.5
，
本文编号：2282326
[Abstract]:Objective: to summarize the clinical features of pancreatic occupying lesions with primary symptom of acute pancreatitis (AP) in order to provide reference for the diagnosis and treatment of acute pancreatitis. Methods: the data of 12 typical cases from September 2010 to October 2014 in affiliated Hospital of Inner Mongolia Medical University were collected, and the clinical manifestations, laboratory indexes and imaging features were analyzed. Results: all the 12 patients were diagnosed as AP. The ratio of male to female was 11: 1, which was significantly higher than that of pancreatic cancer (1.4: 1), 12 cases (100%) were significantly higher in urine amylase (1500IU/L), 8 cases (66.7%) were accompanied with obvious loin radiodynia, 6 cases (50.0%) were elevated CA19-9, 6 cases (50.0%) were bilirubin, 7 cases (58.3%) were dilatation of pancreatic duct, 5 cases received radical operation. The other patients were treated with non-operative or palliative operation because of the loss of radical operation. One case (8.3%) with chronic pancreatitis was diagnosed by pathology after palliative operation. Conclusion: in male patients with AP, the continuous increase of urine amylase, radiodynia in the waist, mild dilatation of pancreatic duct and persistent jaundice are helpful in the diagnosis of pancreatic space occupying lesions.
【作者单位】： 内蒙古医科大学附属医院普通外科;
【基金】：内蒙古医科大学附属医院重大科研资助项目(NYFYYB2014015)
【分类号】：R657.5
，
本文编号：2282326
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