摘要
目的总结假性胰腺囊肿外科手术治疗经验。方法对我院行内引流手术治疗的假性胰腺囊肿39例进行回顾性分析。结果一次性手术治愈37例,二次手术治愈1例,发生囊壁坏死、吻合口瘘及结肠穿孔,再次手术囊肿外引流、结肠造口1例。随访3个月至13年,术后3个月死亡1例,为二次手术囊肿外引流、结肠造口者,1例因糖尿病死亡,反复发作的慢性胰腺炎4例,其余33例无特殊异常。结论对假性胰腺囊肿手术治疗是主要方法,手术时机和手术方式的选择是手术成败的关键,应根据患者病情及囊肿情况,结合影像学等方面综合考虑、评价,以力求达到较好的治疗效果,较小的风险和并发症。
Objective To summarize the therapeutic experiences of pseudo pancreatic cyst in operation. Methods Retrospective analysis was carried out on 39 patients with pseudo pancreatic cyst who were performed with operation and internal drainage. Resuits There were 37 patients successfully treated with operation at a time, and one patient was healed up with the second operation. The other one suffered from cyst wall necrosis, anastomotic stoma fistula and colonic perforation, and then was performed with external drainage and colostomy during the second operation. In the end, two paitents died, one of whom was the patients who was pedbrmed with external drainage and colostomy and died three months later, and the other one of whom died of diabetes. Four patients were ill with iteratively chronic pancreatitis. The other 33 patients got well. The follow - up duration was from three months to 13 years. Conclusion Operation is the main treatment for pseudo pancreatic cyst. Its opportunity and technique, which ought to be though over on the basis of patienth condition, cyst characteristic and imaging data in order that the risk and the complication can come down, act as the key to success.
出处
《临床军医杂志》
CAS
2005年第4期441-443,共3页
Clinical Journal of Medical Officers
关键词
假性胰腺缝肿
外科治疗
pseudo pancreatic cyst
surgical therapy
