纯酒精灌注治疗胰腺假性囊肿外引流术后胰瘘  

Absolute ethyl alcohol perfusion for pancreatic fistulas caused by external drainage of pancreatic pseudocysts

作　　者：刘启武[1] 张爱民[1] 胡光[1] 贾俊英[1] 

机构地区：[1]河北省职工医学院附属医院普外科

出　　处：《中国普通外科杂志》1999年第3期190-191,共2页China Journal of General Surgery

摘　　要：目的探讨胰腺假性囊肿外引流术后胰瘘的治疗方法。方法经外引流管分次向腔内注入纯酒精，每次注入后闭管３０ｍｉｎ，然后开放引流。当引流液消失，Ｂ超证实囊腔被低回声组织充填后，逐渐退管拔管。结果临床应用１５例，术后拔管时间１～６个月，平均２３个月。无并发症，无死亡，治愈率１００％。随访１～７年无复发。结论纯酒精具有刺激囊壁组织迅速增生，闭塞胰瘘管和囊腔，且愈合后不易复发，治疗时间短等优点。Objective To explore the therapy for pancreatic fistulas caused by external drainage for pancreatic pseudocysts. Methods The absolute ethyl alcohol was perfused into the cavity of pseudocyst through external drainage tube. The alcohol was kept in the pseudocyst for 30 minutes each time before it was discharged. The drainage tube was taken out when the drain fluids disappeared according to B mode ultrasonic examination. Results 15 patients were treated with this therapy with the curative rate up to 100%. The time to remove the drainage tube was from 1 to 6 months (mean time 2.3 months), and no complications occurred in these patients. All of the patients were followed up for 1～7 years and no relapse was found. Conclusions The results suggest that absolute ethyl alcohol can stimulate the growth of intracapsular tissue rapidly to fill the fistula and the pseudocyst cavity. The authors recommend that the therapy be quite effective for this disease due to its many advantages.

关 键 词：胰腺假囊肿 外科手术 局部 灌注 胰腺瘘 引流 

分 类 号：R657.5[医药卫生—外科学] R635[医药卫生—临床医学]