慢性胰腺炎致胰周假性动脉瘤诊疗的研究进展  

Research progress in the diagnosis and treatment of peripancreatic pseudoaneurysm caused by chronic pancreatitis

作　　者：牛珺纬 张文锋(综述)[1] 曾尤松 李生伟(审校)[1] NIU Junwei;ZHANG Wenfeng;ZENG Yousong;LI Shengwei(Department of Hepatobiliary Surgery,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;The Thirteenth People’s Hospital of Chongqing,Chongqing 400053,China)

机构地区：[1]重庆医科大学附属第二医院肝胆外科,400010 [2]重庆市第十三人民医院,400053

出　　处：《重庆医学》2023年第3期441-445,共5页Chongqing medicine

基　　金：国家自然科学基金项目(81801963)。

摘　　要：胰周假性动脉瘤是指胰腺周围各种原因引起的假性动脉瘤,而慢性胰腺炎为该疾病的常见病因。胰周假性动脉瘤发病率低,患者会因为无法及时准确诊断而延误治疗,导致该疾病的总体致死率极高。目前,暂无针对胰周假性动脉瘤的临床指南或专家共识。经腹部增强计算机断层扫描确诊后,及时地进行介入栓塞治疗,预后较好。但罕有特殊部位血管或特殊人群的胰周假性动脉瘤诊疗的详细总结。该文对胰周假性动脉瘤患者的诊疗进展进行了综述。Peripancreatic pseudoaneurysm refers to pseudoaneurysm caused by various reasons around the pancreas, and chronic pancreatitis is a common cause of this disease.The incidence of peripancreatic pseudoaneurysm is low, and patients may delay treatment due to the failure of timely and accurate diagnosis, resulting in a high overall mortality of this disease.Currently, there is no clinical guidelines or expert consensus on peripancreatic pseudoaneurysm.After diagnosed by abdominal contrast-enhanced computed tomography, the prognosis is good with timely interventional embolization.However, there are few detailed summary of the diagnosis and treatment of peripancreatic pseudoaneurysm in special parts of blood vessels or special populations.This article reviewed the progress of diagnosis and treatment of patients with peripancreatic pseudoaneurysm.

关 键 词：慢性胰腺炎 假性动脉瘤 介入治疗 综述 

分 类 号：R657.5[医药卫生—外科学]