摘要
目的探讨胰腺囊肿的诊断与治疗方法，减少对胰腺囊性疾病的误诊和误治。方法对1998年-2006年我院收治的44例胰腺囊肿患者的临床资料进行回顾性分析。结果假性胰腺囊肿占36例，占81，8％（36／44）；囊性肿瘤6例，占13．6％（6／44）；潴留性囊肿2例。6例假性胰腺囊肿经保守治疗后消退，8例行经皮穿刺引流，其余均行手术引流或切除术。结论假性胰腺囊肿占全部囊肿大多数且多由急性胰腺炎所致。在诊断假性囊肿时应首先排除囊性肿瘤，术前ERCP检查和术中组织冰冻切片对胰腺囊肿的鉴别诊断和选择合理的治疗方案至关重要。对已诊断的囊性肿瘤，无论良、恶性应尽可能作根治性切除术。
Objective To explore the diagnosis and treatment of pancreatic cyst（PC） to avoid misdiagnosis and real-management. Methods The clinical data of 44 cases with PC were analysed retrospectively. Results Among of them, 36 were pancreatic pseudocysts, 6 were cystic tumor, 2 were retention cyst. The cyst disappeared in 6 patients with pancreatic pseudocysts after conservative treatment; 8 patients underment percutaneous puncture drainage. The others underwent surgical procedures with satisfactory effects. Conclusions Pancreatic pseudocysts are the major pancreatic cyst and due to acute pancreatitis. Preoperative ERCP and intraoperative frozen section is crucial to differential diagnosis and the choice of correct treatment. Radical dissection is effective for pancreatic cystic tumor.
出处
《肝胆外科杂志》
2006年第5期358-360,共3页
Journal of Hepatobiliary Surgery
关键词
胰腺假性囊肿
囊性肿瘤
诊断
治疗
pancreatic pseudocysts
cystic tumor
diagnosis
treatment
