Traverso L W, Tompkins R K, Urrea P T, Longmire W P
Ann Surg. 1979 Sep;190(3):312-9. doi: 10.1097/00000658-197909000-00006.
Seventy-four patients underwent operation for chronic pancreatitis during a 22 year period at UCLA Hospital. Follow-up data obtained for 60% of these patients an average of 3.2 years postoperation were analyzed by computer for statistically significant benefit between paired operation combinations and the variables of pain relief, stool habits, alcohol use, readmission for pancreatitis, and narcotic use. The combined group of total and cephalic pancreaticoduodenectomy proved more effective with respect to pain relief and readmission (p less than 0.05) than the group that had pseudocyst drainage. The comparison of groups that underwent resection or ductal drainage showed no statistical differences for the above variables. Regardless of type of operation, if the patient had evidence of pancreatic calcifications and had abstained from alcohol postoperatively, the likelihood of a return to normal activity was more favorable (p less than 0.05).
在22年期间，有74名患者在加州大学洛杉矶分校医院接受了慢性胰腺炎手术。对这些患者中60%的人在术后平均3.2年获得的随访数据进行了计算机分析，以确定配对手术组合与疼痛缓解、大便习惯、酒精使用、胰腺炎再次入院和麻醉药物使用等变量之间是否存在统计学上的显著益处。与进行假性囊肿引流的组相比，全胰十二指肠切除术和胰头十二指肠切除术联合组在疼痛缓解和再次入院方面被证明更有效（p<0.05）。接受切除术或导管引流术的组在上述变量方面没有统计学差异。无论手术类型如何，如果患者有胰腺钙化的证据且术后戒酒，恢复正常活动的可能性会更有利（p<0.05）。
