摘要
目的：探讨巨大胰腺假性囊肿的外科处理方法及时机选择．方法：回顾性分析我院近10a收治的29例巨大胰腺假性囊肿病例；根据外科干预方法不同,将病例分为内引流组(n=14),外引流组(n=7)和B超定位穿刺置管引流组(n=8)．结果：29例巨大胰腺假性囊肿均需外科干预治疗,内引流组中1例并发肠梗阻,4例囊肿复发；外引流病例中,1例并发胰腺脓肿,2例假性囊肿复发,1例并发胰瘘和肠瘘；B超定位置管引流7例治愈,1例囊肿成熟后行囊肿空肠内引流术治愈．结论：对于早期巨大胰腺假性囊肿,可先行B超或CT定位置管引流,使囊肿缩小或消失；对于晚期成熟的假性囊肿,可根据实际情况灵活选择手术方法．
AIM： To investigate surgical interventions and timing for giant pancreatic pseudocysts.
METHODS： Twenty-nine patients with giant pseudocysts were retrospectively analyzed. According to the surgical interventions, we divided the 29 cases into three groups： internal drainage group （n = 14）, external drainage group （n = 7）, and percutaneous acupuncture drainage group （n = 8）.
RESULTS： Of the 14 cases in internal drainage group, 1 was complicated with obstruction of intestine and pseudocysts recurred in 4 patients. Of the 7 cases in external drainage group, abscess of pancreas was found in 1 case; pseudocyst recurred also in 1 case; fistula of pancreas and colon developed in 1 case; and the rest were cured with no complications. Of the 8 cases received percutaneous acupuncture drainage un- der B ultrasonography, 7 were cured completely and 1 underwent cyst-jejunum anastomosis as the wall became thicker.
CONCLUSION： Percutaneous acupuncture drainage under B ultrasonagraphy or computed tomography should be used in the early stage to make the pseudocyst mature or disappear. For the matured giant pseudocyst mature, surgical interventions should be chosen flexibly.
出处
《世界华人消化杂志》
CAS
北大核心
2006年第21期2142-2145,共4页
World Chinese Journal of Digestology
关键词
巨大胰腺假性囊肿
手术时机
手术方法
Giant pancreatic pseudocysts
Surgical intervention
Surgical timing
