内镜超声引导引流和外科手术治疗胰腺假性囊肿70例  

Comparison of endoscopic ultrasound-guided drainage with surgery for treatment of pancreatic pseudocysts: Analysis of 70 cases

作　　者：严豪杰[1] 崔乃强[1] 赵二鹏[1] 崔云峰[1] 么国旺[1] 

机构地区：[1]天津市南开医院普外科,天津市300100

出　　处：《世界华人消化杂志》2016年第10期1593-1596,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨内镜超声引导的引流和外科手术治疗胰腺假性囊肿的临床疗效以及住院时间和费用.方法:回顾分析了2012-01/2015-01来天津市南开医院进行治疗的70例胰腺假性囊肿患者.A组24例行内镜超声引导引流治疗.B组46例行外科手术治疗.观察并记录两组临床治愈率、并发症发病率、复发率、死亡率、出院时间、住院费用.结果:A组并发症发病率明显低于B组(12.5%vs 30.4%,P<0.05),平均住院时间明显少于B组(3.1d±1.7d vs7.5d±2.2d),并且费用也明显低于B组(1056元±856元vs2349元±457元)(P<0.05).而两组在临床治愈率、复发率以及死亡率中没有差异.结论:内镜超声引导的引流术治疗效果要优于传统的外科手术治疗方式治疗效果,不仅减低了感染率,还将缩短住院时间以及费用,降低患者以及社会医疗负担.AIM： To compare surgical treatment versusendoscopic ultrasound-guided drainage for treatment of pancreatic pseudocysts regarding clinical success, complication rate, recurrence, hospital stay and cost. METHODS： Seventy cases of pancreatic pseudocysts were retrospectively studied at our hospital from January 2012 through January 2015, of which 24（group A） were drained under the guidance of endoscopic ultrasound and 46（group B） were drained surgically. The clinical success, complication rate, recurrence, hospital stay and cost were compared between the two groups. RESULTS ： The complication rate was significantly lower in group A than in group B（12.5% vs 30.4%, P 〈 0.05）. The hospital stay in group A was significantly shorter than that in group B（3.1d±1.7d vs 7.5d±2.2d,P〈0.05）.Likewise,the cost was significantly lower in group A than in group B（1056 yuan±856 yuan vs 2349 yuan±457 yuan, P〈0.05）. The clinical success, recurrence, and mortality rates were similar in both groups（P 〉0.05）. CONCLUSION： Endoscopic treatment of pancreatic pseudocysts offers the same clinical success, recurrence, and mortality rates as surgical treatment but with a lower complication rate, and shorter hospital stay and lower costs.

关 键 词：胰腺假性囊肿 内镜超声引导 外科手术 住院时间 费用 

分 类 号：R657.52[医药卫生—外科学]