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目的 探讨慢性胰腺炎胰管内支架治疗的临床疗效。方法 取沈阳军区总医院 2 0 0 2 - 0 7～ 2 0 0 4 -17经临床、化验及检查明确诊断为慢性胰腺炎的 18例患者 ,分别接受胰管内支架治疗 ,术后观察随访临床症状及化验检查等指标变化情况。结果 所有患者胰管内支架置放成功 ,腹痛症状在术后 1个月内均基本缓解 ,腹痛缓解率 10 0 % ,消瘦、脂肪泻等症状得到改善 ,除 1例因有胰腺外分泌障碍血清淀粉酶下降慢外 ,其他患者血清淀粉酶均于术后 1～ 14d内降至正常 ,1例患者术后第 10天因支架阻塞更换支架。结论 慢性胰腺炎内镜下置放胰管内支架治疗是一种较安全、低创伤、低费用、见效快的首选方法 ,极具临床应用价值。
Objective To investigate the clinical effect of pancreatic duct stent in chronic pancreatitis. Methods Twenty-eight patients diagnosed as chronic pancreatitis by clinical, laboratory and examination at Shenyang General Hospital of General Hospital of Shenyang from 2000-02 to 2000 were enrolled in this study. Patients underwent pancreatic duct stenting and postoperative follow-up clinical symptoms And laboratory tests and other indicators of change. Results All patients had successful stent placement in pancreatic duct. The symptoms of abdominal pain were relieved within 1 month after operation. The remission rate of abdominal pain was 100%. The symptoms of emaciation and steatorrhea were improved. Except for 1 case, serum amylase Slow decline, the other patients with serum amylase were reduced to normal after 1 ~ 14d, 1 patients after stent replacement due to stent block 10 days. Conclusion The endoscopic stent placement of pancreatic duct stents in chronic pancreatitis is a safe, low-invasive, low-cost, quick and effective method of choice, which has great clinical value.