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[慢性胰腺炎外科治疗策略选择的依据]

[Substantiation of the selection of tactics for the surgical treatment of chronic pancreatitis].

作者信息

Kozlov I A, Kubyshkin V A, Iashina N I, Vinokurova L V, Pashovkin I T

出版信息

Eksp Klin Gastroenterol. 2008(7):63-8.

Abstract

177 patients with chronic pancreatitis and the pancreas head affection (CPPHA) were examined and these results were discussed. Option of the pancreatoduodenal resection (PDR) method was performed with due regard the greatest physiology of the operation and rare happening of the poor postoperative results. There are two methods operations of these patients--PDR or isolated resection of pancreas head (IRPH). Variations of IRPH have lesser the nearest unfa variable post operation results. There is no increase of postoperative lethality and complications if the right option and careful performance of IRPH (as Beger operation) was made.

摘要

对177例慢性胰腺炎伴胰头病变(CPPHA)患者进行了检查,并对结果进行了讨论。在充分考虑手术最大生理机能及术后不良结果罕见发生的情况下,选择了胰十二指肠切除术(PDR)方法。这些患者有两种手术方式——PDR或胰头单独切除术(IRPH)。IRPH的不同术式术后近期不良结果较少。如果正确选择并仔细施行IRPH(如贝格尔手术),术后死亡率和并发症不会增加。

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