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修改的Partington-Rochelle程序慢性化胰腺炎与胰腺伪囊在青少年:一个案例报告
Mohamadou Lamine Gueye1, Yacine Seye1, Regis Bakunda2
1Department of Surgery, Cheikh Anta Diop University, Faculté de Médecine, de Pharmacie et d'Odonto-Stomatologie, Campus UCAD, Boulevard Martin Luther King, Dakar-Fann, BP 5005, Sénégal.
Journal of surgical case reports
|March 9, 2026
概括
一种经过修改的Partington-Rochelle程序为患有复杂慢性化性胰腺炎 (CCP) 的青少年提供了持久的症状缓解. 这种手术方法与胆汁和囊转移相结合,在具有挑战性的病例中显示出长期结果的希望.
科学领域:
- 胃肠病学 胃肠病学
- 儿科手术 儿科手术
- 医学案例报告 病例报告
背景情况:
- 慢性化性胰腺炎 (CCP) 是青少年罕见的疾病,经常导致严重的疾病,如慢性疼痛.
- 虽然存在内镜治疗方法,但手术对于复杂的CPT病例至关重要,尽管传统方法可能没有最佳的长期结果.
- 帕廷顿 - 罗切尔 (PR) 程序是CPC的一种常见的手术方法.
研究的目的:
- 报告一个15岁女孩中复杂的CPC病例.
- 为了评估修改后的Partington-Rochelle (PR) 程序在管理复杂的儿科CPT时的有效性.
- 评估青少年CCP手术干预的长期结果,患有伪囊和管道结石.
主要方法:
- 一名15岁的塞内加尔女孩在两年内经历了腹上疼痛和体重减轻,被诊断出患有CCP.
- 图像检测显示主要的胰腺管扩张,一个大的伪囊,以及广泛的管道结石.
- 由于内镜选择有限,作为一线治疗,进行了一种修改后的PR程序,包括胆囊切除术,胆管二管二口口术和囊管胃口术.
主要成果:
- 患者接受了修改的Partington-Rochelle (PR) 程序,同时进行胆汁和囊性转移.
- 术后恢复没有任何事件,表明成功的手术管理.
- 结合的手术方法有效地解决了管道结石,伪囊和胆道问题.
结论:
- 经过修改的PR程序与胆汁和囊性转移相结合,可以在复杂的CCP青少年中提供持久的症状缓解.
- 这种手术策略可能会在精心挑选的儿科患者中带来有利的长期结果.
- 对于复杂的青少年CPC病例而言,手术治疗仍然是一个至关重要的选择,这些病例对内镜治疗没有反应或不适合内镜治疗.
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