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胰腺假性囊肿诊治体会 被引量:4

DIAGNOSIS AND MANAGEMENT OF PANCREATIC PSEUDOCYST
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摘要 回顾性分析近15年来对23例胰腺假性囊肿的治疗情况。保守治愈5例,均为近期患急性胰腺炎者;手术治疗18例,其中外引流1例,内外流14例,囊肿切除术3例。结果无手术死亡,外引流术后胰瘘1例,囊肿切除术后复发1例,内引流术后无严重并发症出现。认为急性囊肿应观察6周,有些病例有自行消散的可能,慢性囊肿一经确诊即行内引流治疗,内引流是目前较理想的有效手术方式。 Retrospective study was used to analysis 23 patients with pancreatic pseudocysts in recent fifteen years. 5 patients with acute pancreatitis were managed conservatively and recovered.18 patients underwent operation.External drainage was perfomed in 1 patients,internal drainage in 14,and cyst lobectomy in 3.There was no operative mortality.Pancreatic fistula occurred on 1 patient in external drainage group and 1 patient had the recurred paeudocyst.There were no sever complications in the internal drainage group.If pseudocyst developed after the acute pancreatitis,it should be watched for 6 weeks.During this period,the pseudocyst perhap dissappeared.Patients with pseudocyts of chronic pancreatitis could undergo emergent surgery of internal drainage.The results of internal drainage were satisfactory.
出处 《肝胆外科杂志》 1999年第2期114-115,共2页 Journal of Hepatobiliary Surgery
关键词 胰腺假性囊肿 诊断 治疗学 Pancreatic pseudocystDiagnosisTreapeutics
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