摘要
探讨胰腺假性囊肿 (PPC)的有效诊治方法。方法 对 10 5例PPC患者的临床资料进行回顾性分析。结果 4 1例行逆行胰胆管造影 (ERCP )和 或窦道造影检查 ,16例( 3 9 0 2 % )被证实囊肿与胰管交通。保守治疗治愈 37例。经皮穿刺置管引流 2 0例 ,复发 5例。手术治疗 53例 (包括非手术治疗后中转手术 5例 ) ,行囊肿空肠Roux en Y吻合术 3 0例 ,复发3例 ;囊肿胃吻合术 9例 ,并发胃出血 2例 ,其中 1例死亡 ;外引流术 8例 ,并发感染死亡 1例 ,胰瘘 2例 ,复发 2例 ;胰腺部分和囊肿切除 6例 ,并发胰瘘 2例。结论 影像学检查了解胰腺假性囊肿与主胰管的关系 。
Objective To study the effective diagnosis and treatment of pancreatic pseudocyst(PPC). Methods The clinical data of 105 patients with PPC were retrospectively analysed. Results ERCP and/or cholangiography through drainage catheter were performed in 41 patients, and channel between PPC and pancreatic duct was found in 16 patients(39.02%). Conservative treatment was given to 37 patients with good results. Percutaneous tube drainage was performed on 20 patients and recurrence of cyst was found in 5 cases. Surgical procedures were carried out on 53 patients, 30 by Roux en Y cystoenterostomy with 3 recurrence of cyst on follow up; 9 by cystogastrostomy, two had postoperative gastirc bleeding and one of the two patients died; 8 by external drainage, 1 patient died of infection, two had pancreatic fistula, and two had recurrence of cyst; 6 by partial pancreatectomy with 2 pancreatic leakage postoperatively. Conclusions Imaging technique is essential for establishment the diagnosis and knowledge of the relationship between PPC and main pancreatic duct. The treatment of PPC is various and should lie on the careful clinical evaluation.
出处
《中国普通外科杂志》
CAS
CSCD
2000年第3期246-248,共3页
China Journal of General Surgery
关键词
胰腺假囊肿诊断
胰腺假囊肿治疗
PANOREATIC PSEUDOCYST/diag
PANOREATIC PSEUDOCYST/ther
