内镜超声引导下经胃穿刺置管引流治疗胰腺假性囊肿36例

Endoscopic ultrasound-guided transgastric drainage of pancreatic pseudocysts:an analysis of 36 cases

目的:评价内镜超声(endoscopic ultrasound,EUS)胰腺假性囊肿经胃穿刺置管引流术的价值.方法:回顾性分析2005-02/2010-05于我院行EUS引导下经胃穿刺置管引流术的36例胰腺假性囊肿患者的临床资料.结果:本组36例患者中,34例成功完成穿刺和置管,成功率为94.4%(34/36).并发症发生率17.6%(6/34),分别为感染、支架堵塞与移位.平均手术时间为50(40-65)min.置入支架后平均住院时间为4.7(2-9)d.平均支架留存时间为6.9(4-11)mo.平均随访时间为30(10-60)mo.内镜治愈率为97.1%(33/34).未见囊肿复发.结论:EUS引导下经胃穿刺置管引流术是一种安全、有效、微创的治疗胰腺假性囊肿的方法.

AIM：To assess the clinical value of endoscopic ultrasound（EUS）-guided transgastric drainage of pancreatic pseudocysts（PPs）.METHODS：The clinical data for 36 patients who underwent EUS-guided transgastric drainage of PPs at our center between February 2005 and May 2010 were retrospectively analyzed.RESULTS：EUS-guided puncture of PPs and stent placement were successful in 34 patients,and the success rate was 94.4%（34/36）.The rate of complications（infection and stent clogging or migration） was 17.6%.The mean operative time was 50 minutes（range,40-65 min） and mean postoperative hospital stay was 4.7 d（range,2-9d）.The mean time between stent implantation and removal was 6.9 mo（range,4-11 mo）.The mean follow-up period was 30 mo（range,10-60 mo）.Endoscopic cure rate was 97.1%（33/34）.No recurrences occurred.CONCLUSION：EUS-guided transgastric drainage is a safe,effective and minimally invasive therapeutic method for PPs.