Leger L, Claret Y, Louvel A
Nouv Presse Med. 1979 Jun 2;8(24):1997-2000.
Clinical, radiological and histopathological features of 31 duodenopancreatectomies for chronic pancreatitis with lithiasis are analysed in relation to whether or not there was dilatation of the duct of Wirsung. Two groups of patients may be defined in the basis of this criterion: -- the first, without dilatation of the duct of Wirsung, with lithiasis predominantly affecting the head of the pancreas and irregular fibrosis, corresponding patients aged approximately 30 years, suffering from the disease for about 10 years, often already operated upon for pancreatitis; gastrointestinal bleeding is common; -- the second, with dilatation of the duct of Wirsung, with disseminated lithiasis, and very marked fibrosis, affecting patients aged over 50 years, suffering from the disease for less than 5 years and not yet operated upon for their pancreatitis. The problem of the independance of the two groups or of the possibility of progression of forms without dilatation of the duct of Wirsung to dilated forms remains.
对31例因慢性胰腺炎合并结石而行十二指肠胰腺切除术的临床、放射学和组织病理学特征进行了分析，分析内容与主胰管是否扩张有关。根据这一标准可将患者分为两组：第一组，主胰管未扩张，结石主要影响胰腺头部，伴有不规则纤维化，相应患者年龄约30岁，患病约10年，常因胰腺炎已接受过手术；胃肠道出血很常见；第二组，主胰管扩张，结石散布，纤维化非常明显，患者年龄超过50岁，患病不到5年，尚未因胰腺炎接受过手术。两组的独立性问题，以及主胰管未扩张的形式向扩张形式进展的可能性问题仍然存在。
