【摘要】 作者报告了对２８例慢性胰腺炎患者（ＣＰ）施行手术治疗的经验。综合ＣＰ影象检查特征，将其分为：肿块型（１１例）、肿块加胆管扩张型（８例）、弥漫肿大型（４例）、胆胰管扩张型（３例）、胰管扩张型（２例）。选择术式的原则：（１）肿块型行切除术（１０例）；（２）胰管扩张型行减压、引流术（３例）；（３）胆管扩张型行胆道引流术（７例）；（４）另有６例ＣＰ病变复杂，根据术中所见，联合应用了多种术式治疗。术后１９例症状消失，无明显胰腺功能恶化。作者并就手术术式的选择、复杂病变的处理方法及其疗效进行了探讨。更多还原

【Abstract】 AbstractTwenty-eight patients with chronic pancreatitis( CP ) were treated surgically in our department from1987 to 1994. According to imaging features of B-us,CT, ERCP and operative pancreatogram, CPs werecldssified into five imaging types:mass type(11cases,),mass with dilated bile duct type (8), diffuselvswelling type(4), dilated bile and pancreatic duct type(3), dilated pancreatic duct type(2).The surgicalprocedure wds determined by Considering both of theimaging type and major symptoms. The patients withpancreatic mass were treated rnainly with pancreatic re-xection, whereas the patients with dilated bile or/andpancreatic duct were treated with bile or/and Dancreat-ic ductal drainage procedures. Sphincteroplasty. neurectomy,lithotomy and T tube drainage were com-bined with above mentioned procedures according to in-traoperative findings.One patient died of acute cholan-gitis ;and hepatic failure,19 patients were free of painpostoperdtivelv. There was no obvious deterioration ofpancreatic function. These data suggest that pathologicchanges of CP can be shown by imaging techniques. On the bcsis of imaging features and major symptoms,choice of appropriate procedure or combination of vari-ous operations will improve therapeutic efficiencv ofCP.更多还原