超声内镜在治疗胰腺假性囊肿合并感染中的应用  

Endoscopic ultrasound for treatment of infected pancreatic pseudocysts

作　　者：刘旭峰[1] 郑明伟[2] 刘毅[2] 李宁[2] 

机构地区：[1]天津大港油田总医院外科,天津市300280 [2]天津市南开医院微创外科中心,天津市300100

出　　处：《世界华人消化杂志》2014年第25期3849-3852,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨超声内镜在治疗胰腺假性囊肿感染中的作用,总结相关手术经验.方法:回顾性分析2008-01/2013-12大港油田总医院和天津市南开医院微创外科中心收治的25例行超声内镜治疗的胰腺假性囊肿患者的临床资料、手术方式、术后恢复情况及并发症.结果:25例患者中,24例成功行超声内镜治疗,于囊腔内置入塑料支架内引流及鼻囊肿引流管外引流,1例行腹腔镜手术治疗.平均手术时间为48.3 min±27.6 min,术后住院时间为8.4 d±3.7 d.术后平均随访19.6 mo,患者腹痛症状明显缓解,体质量指数较术前升高,无手术相关并发症及囊肿复发.结论:超声内镜治疗胰腺假性囊肿感染是一种安全有效并且微创的方法.AIM： To explore the clinical effect of endoscopic ultrasound（EUS） in the treatment of infected pancreatic pseudocysts（PPs）.METHODS： Between January 2008 and December 2013, 25 patients were admitted to our center for infected PPs and underwent EUS. The clinical data about therapies and recovery of the patients were analyzed.RESULTS： All patients underwent EUS with transgastric stenting and BD drainage. One patient required laparoscopic surgery because therapeutic EUS was unsuccessful. Mean operative time was 48.3 min ± 27.6 min. Mean postoperative hospital stay was 8.4 d ± 3.7 d. The median follow-up period was 19.6 mo. No recurrence or other complications occurred.CONCLUSION： Endoscopic ultrasound is a safe, effective and minimally invasive therapeutic method for infected PPs.

关 键 词：超声内镜 胰腺假性囊肿 感染 支架 

分 类 号：R735.9[医药卫生—肿瘤]