儿童胰管结石的外科治疗

Q4 Medicine

中华小儿外科杂志 Pub Date : 2019-11-15 DOI:10.3760/CMA.J.ISSN.0253-3006.2019.11.012

Lei Wu, Mingman Zhang, Ying-cun Li, Wanyi Zhou

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引用次数: 0

摘要

目的探讨儿童胰管结石的手术治疗方法。方法回顾性分析2016 ~ 2017年8例手术患儿胰管结石的临床资料。男3例，女5例，中位年龄11.2(8 ~ 13.8)岁。经腹部计算机断层扫描(CT)和磁共振胰胆管造影(MRCP)进行临床诊断。结果本组无死亡病例。未发生胰漏、腹腔感染、吻合口出血等早期并发症。平均随访18.12(8-28)个月，未见糖尿病、脂肪漏等胰腺内外分泌功能障碍。术后腹痛完全缓解。偶有腹痛3例，无腹痛5例。术后结石残留1例，结石复发1例。结论大直径胰管切开联合Roux-en-Y胰空肠吻合术是治疗儿童胰管结石的有效方法。关键词:儿童;胰管结石;Pancreaticojejunostomy

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Surgical treatments of pancreatic duct stones in children

Objective To explore the surgical approaches for pancreatic duct stones in children. Methods The clinical data were retrospectively analyzed for 8 surgical children with pancreatic duct stones from 2016 to 2017.There were 3 boys and 5 girls with a median age of 11.2 (8-13.8) years.All of them were clinically diagnosed by abdominal computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP). Results There was no case of mortality.No such early complications as pancreatic leakage, abdominal infection or anastomotic bleeding occurred.During an average follow-uPperiod of 18.12 (8-28) months, there was no manifestation of pancreatic internal/external secretion dysfunction such as diabetes and steatorrhea.Abdominal pain was completely relieved postoperatively.Three cases of occasional and no abdominal pain and 5 cases respectively.Postoperative stone residue and stone recurrence were 1 case and 1 cases respectively. Conclusions Large diameter pancreatic duct incision and Roux-en-Y pancreaticojejunostomy are efficacious for pancreatic duct stones in children. Key words: Child; Pancreatic duct stones; Pancreaticojejunostomy

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来源期刊

中华小儿外科杂志 Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.40

自引率

0.00%

发文量

8707

期刊介绍： Chinese Journal of Pediatric Surgery is an academic journal sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1980 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and CSCD Chinese Science Citation Database Source Journal (including extended version). It is one of the national key academic journals under the supervision of the China Association for Science and Technology. Chinese Journal of Pediatric Surgery enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with a large number of practical cases and industry information, and have received widespread attention and citations from readers.