78例胰腺假性囊肿的治疗分析  

Treatment Analysis of 78 Pancreatic Pseudocyst Cases

作　　者：李颖楠 陈坤[1] 李耀 李文[1] 朱洪[1] LI Ying-nan;CHEN Kun;LI Yao;LI Wen;ZHU Hong(Dept.of Hepatobiliary Surgery,The 2nd Affliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]昆明医科大学第二附属医院肝胆胰外科

出　　处：《昆明医科大学学报》2019年第11期50-53,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81460132)

摘　　要：目的对比分析经皮穿刺置管引流(PCD)术及开腹手术的治疗效果,从而对胰腺假性囊肿(PPC的患者提供更为完善的治疗手段。方法选取昆明医科大学第二附属医院2015年9月至2018年12月的胰腺假性囊肿病历78例,对其所采取的治疗方法(经皮穿刺置管引流术及常规开腹手术)回顾性地归纳总结。结果2组病例均痊愈出院,无死亡病例。PCD组术后并发症有:出血2例、假性囊肿内感染1例,术后拔管时间25~45d,术后住院天数4~6 d;外科手术组术后并发症有:出血3例、假性囊肿内感染1例,术后拔管时间4~8 d,术后住院天数8~12 d。2组病例术后并发症出血及感染比较无统计学差异(P>0.05),术后拔管时间及术后住院天数有统计学差异(P<0.05)。2组病例随访8~36个月,失访1例,无再次入院病例。结论常规手术虽然较经皮穿刺置管引流(PCD)及腔镜手术、内镜引流术对机体的损伤稍大,但就目前的治疗手段是对胰腺假性囊肿引流较彻底、恢复较完善的治疗方法。Objective The therapeutic effects of percutaneous catheter drainage(PCD)and laparotomy were compared and analyzed in order to provide better treatment for the patients with pancreatic pseudocyst.Me thods78 cases of pancreatic pseudocyst in the past three years in our hospital were selected,and the treatment methods(percutaneous puncture catheterization and routine laparotomy)were compared and summarized retrospectively.Re s ults 78 patients were cured after operation.Although there were some complications after the operation,the routine laparotomy provided better results.Conclus ion Although conventional surgery is slightly more harmful to the body than percutaneous drainage(PCD)and endoscopic drainage,it is a more complete and better treatment for pancreatic pseudocyst drainage.

关 键 词：胰腺假性囊肿 治疗方式 开腹手术 

分 类 号：R65[医药卫生—外科学]