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目的 探讨胰管结石与胰腺癌的关系及诊断与治疗的方法。方法 回顾性总结 1990～ 1999年 6月收治的 5例胰管结石合并胰腺癌病人的临床资料。 5例病人均行手术治疗 ,胰十二指肠切除 3例 ,胰管切开取石、胰管空肠吻合 1例 ,术中活检 1例。结果 胰管结石病人多以上腹痛为首发症状。术前B型超声、ERCP、CT等都对胰石有确诊作用。胰腺癌在局部形成包块前 ,术前诊断较为困难。结论 B型超声为诊断胰管结石的首选检查法 ;胰管结石易合并胰腺癌 ,术中应常规行病理检查。胰管结石合并胰腺癌病人的首选术式为胰十二指肠切除术。
Objective To investigate the relationship between pancreatic duct stones and pancreatic cancer and the methods of diagnosis and treatment. Methods The clinical data of 5 patients with pancreatic duct stones complicated with pancreatic cancer admitted from June 1990 to June 1990 were retrospectively reviewed. All the 5 patients underwent surgical treatment. Three patients underwent pancreatoduodenectomy, one patient underwent pancreatic duct incision, one patient who underwent pancreatic duct jejunostomy and one patient underwent biopsy. Results Patients with pancreatic duct stones more than the first symptom of abdominal pain. Preoperative B-mode ultrasound, ERCP, CT, etc. have confirmed the role of pancreatic stone. Preoperative diagnosis of pancreatic cancer in the local formation of mass before, more difficult. Conclusion B-mode ultrasound is the first choice for the diagnosis of pancreatic duct stones. Pancreatic duct stones are easy to be combined with pancreatic cancer. Pathological examination should be performed routinely. Pancreatic duct stones with pancreas cancer patients preferred surgical pancreatoduodenectomy.