摘要
目的探讨急性梗阻性化脓性胰管炎(acute obstructive suppurative pancreatic ductitis,AOSPD)的病因、发病机制、临床表现及诊治方法。方法回顾国内外关于AOSPD的文献报道,结合临床经验,对它进行全面分析。结果AOSPD是临床罕见的胰管内化脓感染性疾病,慢性胰腺炎和壶腹部手术是主要发病因素,临床症状无特异性,影像学多表现为胰管扩张及胰管内结石,临床上主要通过上腹部CT或内镜下逆行胰胆管造影检查确定诊断,易于误诊及漏诊。结论AOSPD临床诊断困难,早期行胰管引流是治疗的关键,对其诊治应引起重视。
Objective To investigate the etiology,pathogenesis,clinical manifestations,diagnosis and treatment of acute obstructive suppurative pancreatic ductitis(AOSPD).Method The literature reports on AOSPD at home and abroad were reviewed and analyzed comprehensively based on clinical experience.Results AOSPD was a rare clinically infectious disease of purulent pancreatic duct.Chronic pancreatitis and ampullary operations were the main pathogenesis factors.The clinical symptoms were non-specific,and the imaging manifestations were pancreatic duct dilatation and pancreatic duct calculi.The clinical diagnosis was mainly determined by epigastrium CT or endoscopic retrograde cholangiopancreatography,which was easy to be misdiagnosed and missed.Conclusion The clinical diagnosis of AOSPD is difficult,early pancreatic duct drainage is the key to the treatment,and attention should be paid to its diagnosis and treatment.
作者
仲万
潘超
刘子君
ZHONG Wan;PAN Chao;LIU Zijun(Department of General Surgery,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,P.R.China)
出处
《中国普外基础与临床杂志》
CAS
2023年第1期110-114,共5页
Chinese Journal of Bases and Clinics In General Surgery
关键词
胰管炎
胰管扩张
胰管结石
慢性胰腺炎
内镜引流
pancreatic ductitis
pancreatic duct dilatation
pancreatic duct stone
chronic pancreatitis
endoscopic drainage
