摘要
目的 了解急性胰腺炎后假性囊肿的特点 ,并对手术治疗方式进行比较。方法 对近 10年手术治疗的115例症状性假性囊肿进行回顾性临床分析和比较。结果 有相当比例的症状性假性囊肿的囊肿内含有坏死组织 ,且感染性假性囊肿与囊肿内存在的坏死组织有明显的关系。外引流和内引流手术均能达到治愈目的 ,但经过的临床过程却不尽相同 ,内引流术后恢复时间短 ,无明显并发症。并且胃 假性囊肿吻合术可以早在 4周后实施 ,部分感染性假性囊肿和多发性假性囊肿也可以采用内引流治疗。结论 在急性胰腺炎后症状性假性囊肿的治疗中 ,内引流有更大的适应范围 ,除特殊情况外 ,内引流可作为治疗的首选。
Objective To determine the characters of symptomatic pancreatic pseudocyst due to acute pancreatitis and effects of surgical treatment with two kinds of procedure (internal drainage or external drainage). Methods One hundred and fifteen cases hospitalized during recent ten years were retrospectively analyzed.Results We found that necrotic tissue existed in the pseudocyst in most cases and infection might occur in these pseudocyst. Although effect of two kinds of surgery was similar, the clinical course was different. The complications after surgery were fewer in patients underwent internal drainage than that with procedure of external drainage, and average hospital day was 7d in cases with internal drainage and 11d in cases with external one respectively. Surgery of internal drainage used in treatment was not only successful in noninfectious and single pseudocyst, but in infectious or multiple pseudocyst.Conclusion Internal drainage should be used in most cases and considered as the first selection in surgery of pseudocyst due to acute pancreatitis.
出处
《中国普外基础与临床杂志》
CAS
2002年第6期377-379,共3页
Chinese Journal of Bases and Clinics In General Surgery
