摘要
目的 探讨非手术治疗胰外瘘的价值。方法 回顾分析 6年间 18例胰外瘘患者行非手术治疗的临床资料 ,分别分析其发病原因、非手术患者的选择标准、非手术治疗方法 ,以及治疗后患者胰外瘘量的改变。结果 18例经非手术治疗后 ,胰液引流量逐渐减少 ,在 1~ 8个月内愈合 ,平均愈合时间 5 .5个月。拔除引流后无复发。除 4例患者出现胰腺假性囊肿外无其他并发症发生。结论 非手术治疗方法治疗胰外瘘可以相对减轻患者痛苦 ,临床可根据情况选择。
Objective To explore the effect of non-operative management in the treatment of external pancreatic fistula(EPF). Methods 18 cases of EPF underwent non-operative treatment were analyzed retrospectively . The causes of EPF, the criteria of case selection were summarized respectively. the non- operative treatments methods and the change of drainage volume after the treatment were analyzed.Results After the non-operative treatment,the drainage volume reduced gradually,and all the 18 cases were curred in 1 to 8 (averaged 5.5) months.No recurrence happened after the drainage withdrawn.There were no other severe complications except 4 pancreatic pseudocysts formation. Conclusions Non-operative treatment plays an important role in the treatment of EPF.It could reduce patients' sufferings.The choice of the method should be according to patients' condition.
出处
《中国普通外科杂志》
CAS
CSCD
2003年第9期688-690,共3页
China Journal of General Surgery
关键词
胰外瘘/治疗
胰腺疾病/外科学
手术后并发症
EXTERNAL PANCREATIC HSTULA/ther
PANCREAS DISEASES/surg
POSTOPERATIVE COMPLICATIONS