胰腺假性囊肿32例治疗分析

Analysis of Treatments for 32 cases of Pancreati c Pseudocyst

目的：探讨胰腺假性囊肿（pancreatic pseudocysts，PPC）的治疗方法及疗效。方法：分析我院收治的32例胰腺假性囊肿患者的治疗方法和治疗效果。结果：保守治疗6例；外科治疗26例，其中外引流5例，内引流17（囊肿空肠Roux—en—Y吻合14，囊肿胃吻合3）例，假性囊肿切除术4例。无手术死亡，随访5年无复发。结论：大多数胰腺假性囊肿患者需要进行外科手术治疗，囊肿空肠Roux—en—Y吻合和囊肿胃吻合术组术后并发症的发生率均明显低于外引流组，而囊肿空肠Roux—en—Y吻合术与囊肿胃吻合术相比，术后并发症的发生率更低，是一种简单合理的手术方式。

Objective ：To evaluate the effect of different ways in the treatment of pancreatic pscudoeyst . Methods ：This retrospective research analyzed the ways and results of 32 patients with pancreatic pseudoeysts registcd in our hospital from January 2006 to March 2009 . Result：The procedures included expectant treatment （6 cases） ,external drainage （ 5 cases） , internal drainage （17 cases）, cystectomy （4 eases）. There were 3 cases using eystogastrostomy, 14 cases using Roux -en -Y cystojejunostomy. Conclusion：The majority of pancreatic pseudoeysts need surgical treatment. Complications of eystogastrostomy and Roux - en - Y eystojejunostomy are much less than that of external drainage, whereas complications of cystogastrostomy are much more than that of Roux - en - Y cystojejunostomy , which is a simple and reasonable modus operandi.