胰腺假性囊肿超声引导经皮引流治疗的临床价值

Ultrasound-guided percutaneous drainage for pancreatic pseudocyst

目的探讨超声引导经皮引流治疗胰腺假性囊肿(Pancreatic Pseudocyst,PPC)的临床价值。方法采用超声引导经皮引流治疗PPC 10例,其中单纯穿刺抽液1例,置管引流9例。结果1例因囊腔与主胰管相通,改行开腹囊肿空肠Roux-Y吻合术,余9例囊肿消失或明显减小。引流时间5-80天,平均26天,无并发症发生。10例随访6-30个月,平均14个月。按照疗效评价标准结果:治愈6例,显效2例,有效1例,复发1例,总有效率90%。结论超声引导经皮穿刺抽液或置管引流是治疗PPC一种简单可行的方法,具有创伤小,并发症少,可早期实施、多部位同时进行、可重复治疗等优点。

Objective To investigate the therapeu6c value of ultrasound- guided percutanoons drainage in the treatment of pancreatic pseudocyst.Methods Ten patients with pancreatic pseudocyst underwent ultrasound- guided percutaneons draninge in present study, including lcase of simple puncture aspiration and 9 cases of drainage placement.Results A conversion to open cyst- jejunum Roux- en- Yana stomosis was required in 1 case because the cyst and the main pancreatic duct opened into each other. Pseudocysts dispeared or contracted obviously in the remaining 9 cases. The drainage time was 5 - 80 days（mean of 26 days） and there was no complications occurred. Follow- up in the 10 cases for 6 -： 30 months （mean, 14 months） found 6 cases were cured, 1 case was recurring and 3 cases regarded effective according to the diagnostic eriteria,the total effective rate was 90 % . Conclusion Ultrasound- guided percutaneous puncture aspiration and drainage for pancreatic pseudocyst is simple and feasible, offering advantages of minimal invasion and fewer complications. The procedure may be applied repeatedly at early stage to multiple sites.