摘要
本文对38例假性胰腺囊肿的诊治加以讨论。诊断依靠病史、症状、体征及影象学检查。病因以急性胰腺炎和胰腺外伤为主,最常见的体征是腹部包块,BUS为首选检查项目。囊肿形成以后,应以BUS动态观察6周后,必要时才作手术治疗。假性胰腺囊肿与囊性肿瘤的鉴别十分重要,术前BUS可显示其区别,重点在手术中探查,掌握二者区别要点。关于各种术式的选择,本组以囊肿空肠Roux—en—丫吻合术为主,但囊肿胃吻合术只要作得恰当,效果也很好,本组两例术后钡餐检查,食糜迅速掠过吻合术口而未溢入囊肿,此方法适用于操作困难或危重病人。
38 cases of pancreatic pseudocyst were reported. Diangnosis depended on history,. physical and image examination. The etiological factors were mainly a-cute pancreatitis and trauma. The most important sign was abdominal mass. B-US is the first selected examination. After the diagnosis is established, 6 weeks' observation to detect its dynamic change is appropriate. The differential diagnosis between pseudocyst and cystic tumor is very important. B-US sometimes could identify them preoperatively, But definite diagnosis lies on intra-operative exploration and biopsy. Jejunal-cystic Roux-en-Y anastomosis was the treatment of choice. But cystic-gastrostomy also gave a favorable result. Post-operative barium meal exam showed that the gastric content quickly passed the anastomot-ic site without leakage. This procedure is indicated in difficult or risky cases.
出处
《中国普通外科杂志》
CAS
CSCD
1994年第5期267-269,共3页
China Journal of General Surgery
关键词
胰腺囊肿
影象诊断
外科手术
Pancreatic Pseudocysts
Imaging examination
Operation
