CT引导下治疗胰腺假性囊肿的临床应用

Clinical application of percutaneous catheter external draining of pancreatic pseudocyst guided by CT

目的:探讨CT引导下经皮胰腺假性囊肿穿刺置管外引流术的临床应用。方法:对38例假性胰腺囊肿患者进行CT引导下的经皮穿刺置管持续外引流术。结果:38例共穿刺42次,穿刺成功率100%,穿刺入路包括腹前壁23例,侧壁10例,背部入路5例。共放置引流管42根。4例外引流后1～4个月转手术治疗,其中32例患者已连续随访2～24个月,无1例复发。结论:CT引导下胰腺假性囊肿穿刺外引流术手术损伤小,安全有效,成功率高,并发症少。

Objective：To explore the clinical application and value of percutaneous catheter draining treatment of pancreatic pseudocysts guided by CT.Methods：The persistent percutaneous external draining of pancreatic pseudocyst was performed by CT guidance in 38 cases.Results：38 times of puncture in 42 cases were done,the successful rate was 100%. Puncture path included anterior abdominal approach in 23 cases,lateral approach in 10 cases,posterior approach in 5 cases. 42 drainage catheters were placed.4 cases had surgerical operations again after draining for 1～4 months.Follow-up from 2 months to 24 months in 32 eases was carried out and no recurrence was found. Conclusion：The technique of percutaneous catheter external draining of pancreatic pseudocyst guided by CT is mildly invasive and simple with high successful rate.