胰腺创伤的诊断和治疗进展

胰腺创伤的早期诊断是根据详细的询问病史、全面的体格检查，结合淀粉酶指标、B超、CT扫描、逆行胰胆管造影（ERCP）及磁共振下胰胆管成像（MRCP）等检查做出诊断，必要时应及时行剖腹探查，剖腹探查术是最可靠的早期诊断方法。依据损伤部位及严重程度，选择最佳的手术方式，可提高治愈率，减少并发症的发生，通畅引流是改善预后的关键措施，本文对胰腺创伤的诊治进展作一综述。

Progress in diagnosis and treatment of pancreatic injury

The early diagnosis of pancreatic injury should be based on a comprehensive patient history and scrupulous physical examination, aided by auxiliary examinations including serum amylase level, ultrasound, CT scanning, endoscopic retrograde cholangio-pancreatography （ERCP） or magnetic resonance cholangio-pancreatography （MRCP）, and laparotomy if necessary, The exploratory laparotomy is the most dependable method at the early stage. We should approach pancreatic injury according to the site of injury and severity of the trauma, and choose a proper operation method in order to improve the curative rate and reduce the postoperative complications, The key procedures for improvement of the prognosis are the postoperative unobstructed drainage. In this paper, diagnosis and treatment of pancreatic injury are reviewed.