胰腺囊性病变90例临床分析

Diagnosis and treatment of pancreatic cystic lesions:a report of 90 cases

目的总结胰腺囊性病变的临床特点,探讨胰腺囊性病变的诊断和治疗方法。方法回顾性分析90例胰腺囊性病变患者的临床资料。结果 90例胰腺囊性病变中,假性囊肿69例,囊性肿瘤21例(囊腺癌11例,囊腺瘤6例,乳头状管状腺癌4例);40例行保守治疗,3例经皮穿刺外引流,8例经超声内镜引流,39例手术治疗(外引流术1例,内引流术22例,囊肿及胰体尾切除14例,胰头切除2例)。结论 CT和EUS对囊性病变的诊断具有重要价值,不同的囊性病变选择不同的治疗方式,以降低复发率、减少并发症。

Objective To summarize the characteristics of pancreatic cystic lesions and investigate their diagnosis and treatment methods. Methods The clinical data of 90 patients with pancreatic cystic lesions from January 2008 to August 2013 was retrospectively analyzed. Results Among the 90 patients with pancreatic cystic lesions,69 cases were pancreatic pseudocyst and 21 cases pancreatic cystic neoplasms. 40 patients out of 90 were underwent conservative management,3 cases were performed by percutaneous tube drainage and 8 by endoscope tube drainage. In 39 laparotomy patients,1 patients underwent external drainage,22 internal drainage,14 cyst conbine pancreatic body and tail resection,and 2 pancreatic head resection. Conclusions computerized tomography and EUS play an important role in the diagnosis of pancreatic cystic lesions. Different cyst chooses different treatment methods to reduce complications and the recurrence rates.