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目的：探讨手术治疗青少年胰管结石的效果。方法：对１９８２～１９９７年收治的青少年胰管结石１８例进行回顾性分析。结果：胰管结石１８例均合并慢性胰腺炎，其中合并胰腺癌３例，行胰管切开取石、胰肠吻合术１５例，行胰十二指肠切除术１例，胰体尾部切除术２例。随访６个月～１０年，腹痛缓解或部分缓解１１例，腹痛无缓解３例，糖尿病和腹泻发生率４０％（６／１５），３例胰腺癌５年内均死亡。结论：青少年胰管结石确诊后应争取早日手术治疗。
Objective: To investigate the effect of surgical treatment of pancreatic duct stones in adolescents. Methods: 18 cases of juvenile pancreatic duct stones admitted from 1982 to 1997 were retrospectively analyzed. Results: 18 cases of pancreatic duct stones were complicated with chronic pancreatitis, including 3 cases of pancreatic cancer, pancreatic duct incision stone, pancreaticojejunostomy in 15 cases, pancreaticoduodenectomy in 1 case, pancreatic body tail resection 2 cases. All patients were followed up for 6 months to 10 years. 11 cases were relieved or partially relieved of abdominal pain, 3 cases had no relief of abdominal pain, 40% (6/15) cases of diabetes and diarrhea, and 3 cases of pancreatic cancer died within 5 years. Conclusion: Juvenile pancreatoduodenectomy should seek early surgical treatment after diagnosis.