【摘要】 目的探讨以急性胰腺炎为首发症状的胰脲癌的诊断及手术时机。方法对我院2000年1月至2004年12月收治的11例以急性胰腺炎为首发症状的胰腺癌病人资料作回顾性分析。结果 11例均表现为急性水肿型胰腺炎,行中西医结合治疗,在胰腺炎稳定后约14 d 进行手术,9例行胰十二指肠切除术,2例进行姑息性手术。术后无胰腺炎复发、吻合口漏等并发症,无手术死亡。结论以急性胰腺炎为首发症状的胰腺癌在胰腺炎控制后2周是手术治疗的较好时机。更多还原

【Abstract】 Objective To investigate the diagnosis and operative opportunity of pancreatic carci- noma with the first symptom of acute pancreatitis(AP).Methods The clinical data of 11 cases of pancreatic carcinoma with the first symptom of AP treated in our hospital from January 2000 to De- cember 2004 were retrospectively analyzed.Results Acute edematous pancreatitis was found in all the 11 cases.The patients were given the integrated therapy of Chinese and western medicine.Pancreati- coduodenectomy was performed in 9 cases and palliative operation in 2 cases about 14 d after AP was controlled.There were no operative death and postoperative complications such as recurrence of pan- creatitis and interposed fistula.Conclusions The ideal operative opportunity for pancreatic carcinoma with the first symptom of AP is 2 weeks after the control of pancreatitis.更多还原