胰管结石临床诊治分析

发布时间：2018-07-13 17:26

【摘要】：目的: 总结分析胰管结石的诊断方法及治疗方式，为胰管结石的诊断治疗提供参考依据。方法: 回顾性分析吉林大学第一医院自2010年1月到2014年10月间接受治疗的19例胰管结石患者的临床资料、诊断方法、治疗方式及愈后。结果: 所有患者均行B超和CT检查，阳性率分别为73.7%、89.5%，联合MRCP、ERCP阳性率可达到100%。内镜治疗患者8例，其中一例治疗失败后采用保守治疗；外科手术治疗11例，两组术后并发症发生率分别为28.57%和0%；两组住院时间（P0.01）和住院费用（P0.05）差异有统计学意义。结论: B超是首选影像学检查，联合CT及MRCP可提高阳性率，为治疗方式提供更可靠的依据。治疗应循个体化治疗方案，，严格掌握适应症，选择相应的治疗方式。取尽胰管结石也是治疗慢性胰腺炎的关键。
[Abstract]:Objective: to summarize and analyze the diagnosis and treatment of pancreatic duct stone, and to provide reference for the diagnosis and treatment of pancreatic duct stone. Methods: the clinical data, diagnostic methods, treatment methods and prognosis of 19 patients with pancreatic duct stones who were treated indirectly from January 2010 to October 2014 in the first Hospital of Jilin University were retrospectively analyzed. Results: all patients were examined by B-ultrasonography and CT, the positive rate was 73.7% and 89.5%, respectively. The positive rate of ERCP combined with MRCP-ERCP could reach 100%. Eight patients were treated by endoscopy, one of them was treated with conservative treatment after failure, 11 patients were treated by surgery, the incidence of postoperative complications was 28.57% and 0.The hospital stay time (P0.01) and hospitalization cost (P0.05) were significantly different between the two groups. Conclusion: B-ultrasound is the first choice for imaging examination. Combined CT and MRCP can improve the positive rate and provide a more reliable basis for treatment. Individualized treatment should be followed, indications should be strictly grasped and corresponding treatment methods should be selected. Removal of pancreatic duct stones is also the key to the treatment of chronic pancreatitis.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.5

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