胃癌根治术后并发胰周积液的处理  

Diagnosis and management of peripancreatic fluid collections after radical gastrectomy

作　　者：花嵘[1] 李玺[1] 李宁[2] 花明学 巩新建[1] 

机构地区：[1]江苏省徐州市解放军第97医院普外科,221004 [2]南京军区南京总医院全军普外研究所 [3]陕西省铜川矿务局中心医院普外科

出　　处：《腹部外科》2005年第4期224-225,共2页Journal of Abdominal Surgery

摘　　要：目的探讨胃癌根治术后胰周积液的治疗方法.方法对我们1993年～2004年收治的胃癌根治术后胰周积液10例进行回顾性分析.结果保守治疗治愈1例,B型超声引导下经皮多次穿刺治愈4例,手术行外引流治愈3例、内引流治愈2例.结论对于胃癌根治术后胰周积液早期应采取保守治疗、穿刺抽液或外引流,内引流可作为治疗的最后选择.Objective To explore the treatment of peripancreatic fluid collections after radical gastrectomy. Methods Ten cases of peripancreatic fluid collections following gastrectomy were retrospectively analyzed from 1993 to 2004. Results One patient was cured conservatively. Four cases were cured through percutaneons puncture guided by B ultrasound. Three cases were cured through surgical external drainage,and 2 cases were cured through internal drainage. Conclusion Conservative management,percutaneons puncture drainage and external drainage were main methods in the early period, and internal drainage was the last option.

关 键 词：胃癌根治术 胰周积液 术后 B型超声 手术治疗 内引流 

分 类 号：R735.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]