目的探讨序贯式外内引流术治疗胰腺假性囊肿的指征,评价不同术式治疗胰腺假性囊肿的疗效。方法对85例胰腺假性囊肿患者的临床资料及随访结果进行分析。结果85例中,9例经非手术治愈,其余行外引流术22例,囊肿空肠/胃引流术53例(其中序贯式外内引流术24例),囊肿胃引流术后复发再次行囊肿空肠序贯式外内引流术1例。78例门诊随诊6个月~5年,7例随诊2~3个月。接受非手术及内引流术或序贯式外内引流术者无复发; 行囊肿外引流术的22例中,9例痊愈,13例因胰瘘或囊肿复发行瘘道或囊肿空肠/胃引流术痊愈。结论囊肿内引流术效果优良; 胃/空肠序贯式外内引流术兼具外、内引流术的优点,疗效优于外引流术而与内引流术相当。
Citation:
雷正明,黎靖,郭子健. 胰腺假性囊肿的外科治疗. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(3): 254-255. doi:
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Pavlovsky M, Perejaslov A, Chooklin S, et al. Current management of pancreatic pseudocysts [J]. Hepatogastroenterology, 1998; 45(21)∶846.
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Behrman SW, Melvin WS, Ellison EC. Pancreatic pseudocysts following acute pancreatitis[J]. Am J Surg, 1996; 172(3)∶228.
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杨尹默,黄莚庭,夏建国. 胰腺假性囊肿诊断和外科治疗的再选择 [J]. 中华外科杂志, 1996; 34(6)∶355.
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- 1. Pavlovsky M, Perejaslov A, Chooklin S, et al. Current management of pancreatic pseudocysts [J]. Hepatogastroenterology, 1998; 45(21)∶846.
- 2. Behrman SW, Melvin WS, Ellison EC. Pancreatic pseudocysts following acute pancreatitis[J]. Am J Surg, 1996; 172(3)∶228.
- 3. 杨尹默,黄莚庭,夏建国. 胰腺假性囊肿诊断和外科治疗的再选择 [J]. 中华外科杂志, 1996; 34(6)∶355.