胰腺囊肿术式探讨及疗效评价(附118例报告)

Eavluation of different surgical procedures and their therapeutic effects in treatment of pancreatic cyst:a report of 118 cases

目的探讨胰腺囊肿的手术术式对术后疗效的影响。方法病因统计法回顾性研究118例胰腺囊肿的手术治疗情况。结果 31例外引流术,54例内引流术。33例切除术。结论真性囊肿以切除为佳。外引流术仅适用于囊肿有感染,出血,破裂等急重情况,并发症较多。内引流术适用于囊肿无法切除者,效果好于外引流术,但也有一定并发症。位于胰体尾部的囊肿的首选治疗方法是胰体尾切除术,手术效果好,彻底,不易复发。

Objective To evaluate the effect of operation method in surgical treatment of pancreatic cyst. Method Retrospectively stastical analysis on 118 cases of pancreatic cyst was carried out.Result Thirty-one cases underwent external drainage,54 cases were subjected to internal drainage,and 33 cases to resection.Con- clusion For a genuine cyst,it is better to have it reacted.External drainage is only indicated for pseudocysts in emergent situations such as infection,hemorrhage or rupture,but is often accompanied with multiple complica- tions.Internal drainage is indicated for unresectable cysts and is superior to the external one,but it has some com- plications too.Resection of the pancreatic body and tail is the first choice for cysts located there,and it shows a good and thorough therapeutic effect with seldom recurrence.