Abstract:

Evaluation and modification of pancreatic fistula diagnostic and grading criteria        LOU Wen-hui. Department of Pancreatic Surgery，Zhongshan Hospital of Fudan University，Shanghai 200032，China
Abstract    The present diagnostic and grading criteria of pancreatic fistula is good but retrospective，which corresponding well with the severity of patients’ situation，but could not predict the occurrence and prognosis of severe pancreatic fistula，so that could not guide the forthcoming treatment of fistula. Adding some objective predictors to the present criteria，such as C reactive protein and texture of pancreas，may help to predict the occurrence of severe pancreatic fistula and prognosis，so that surgeons could give more precise treatment to the patients.

Key words: pancreatic fistula, grade, diagnosis criteria

摘要：

现行的胰瘘诊断和分级标准是依据回顾性指标制定，可反映病人病情的严重程度，但不能预测严重胰瘘的发生及转归，故不能为后续的治疗措施提供指导。而在现有的诊断标准中增加一些客观指标，如C反应蛋白、胰腺质地等，可能有助于前瞻性地预测严重胰瘘的发生及转归，为病人提供更有针对性的治疗。

关键词: 胰瘘, 分级, 诊断标准