+7-495-626-8046, +7-495-768-0434
понедельник-пятница, 10:00-18:00
Регистрация
|
+7-495-626-8046, +7-495-768-0434 понедельник-пятница, 10:00-18:00 |
Новости | Магазин | Журналы | Контакты | Правила | Доставка |
|
Вход Регистрация |
|||||
Ключевые слова:
Литература:
Purpose. To estimate the role of CT-semiotics in the choice of the way of surgical treatment of chronic pancreatitis (ChP). Material and methods. Spiral CT with bolus contrast enhancement was performed to 57 patients with ChP, and to 30 patients from the control group. The ratio of volumes of a pancreatic head (PH) and distal part of a pancreas was estimated . Results. Ratio K = 0.9 ± 0.2 was at patients of the control group (head 29 ± 3 cm3, distal part 29 ± 4 cm3). Duodenum-preserving resection of the PH by Beger (17) or pancreaticoduodenectomy (14) were performed at volume 86 ± 21 cm3 (K = 3.5 ± 0.5). The local resection of PH combined with longitudinal pancreatojejunostomy by Frey (15) was made at the volume of PH 58 ± 7 cm3 (К = 2.5 ± 0.3) with the present pancreatic duct > 7 mm. Longitudinal pancreatojejunostomy (11) was performed at the volume of PH 38 ± 6 сm3 (К = 1.5 ± 0.4). CT in long-terms after the surgical treatment showed the regression of the volume of distal parts of the pancreas after the pylorus-preserving pancreaticoduodenectomy (average 6.5 ± 1.3 cm3). The mean volume of distal parts after the Beger procedure was 16.2 ± 2.8 cm3 and correlated (p less 0.001) with the low rate of endo- and exocrine insufficiency of a pancreas. Conclusion. CT examination allows to choose the type of the surgical treatment and to estimate changes in pancreas and its endo- and exocrine function in long terms.
Keywords:
