小儿胰腺假性囊肿17例诊疗分析

Experience on the treatment of 17 cases of children with pancreatic pseudocysts

目的探讨小儿胰腺假性囊肿的治疗体会。方法回顾性分析本院1999年1月至2012年12月收治的17例胰腺假性囊肿患儿临床资料，男8例，女9例，年龄2-16岁，平均年龄8．4岁，其中13例行保守治疗；1例行超声引导下经皮穿刺引流；3例手术治疗（1例行囊肿外引流术，1例行囊肿胃吻合术，1例行胰腺囊肿切除术）。结果13例保守治疗病例中，10例治疗有效；3例失败其中1例经皮穿刺引流病例好转出院。3例手术病例均治愈出院。17例中，1例复发，其余治愈及好转病例随访半年至1年均无复发及相关并发症出现。结论胰腺假性囊肿无论大小，大多数经早期保守治疗，可获好转或痊愈；出现手术适应证时应及时手术，手术治愈率高，囊肿吸收快，并发症少。

Objective To summarize the experience of treating children with pancreatic pseudocysts. Methods A retrospective analysis was made on the 17 cases of pancreatic pseudocysts diagnosed and treated in our hospital from January 1999 to December 2012.The patients,including 8 males and 9 females,aged from 2 to 16 years,with the average age 8.4 years.Of the total 17 cases,13 received conservative treatment,1 re-ceived ultrasound guided percutaneous drainage,and 3 were treated with operation （1 underwent cyst drainage, 1 cyst gastrostomy,and 1 pancreatic cyst excision）. Results Among the 13 cases given conservative treat-ment,10 were satisfatorilly treated and 3 failed.1 treated with percutaneous drainage recovered well.The re-maining 3 treated with operative therapy were cured and discharged.Among the total 17 cases,only 1 case had a relapse,all the others were followed up for six months to one year with no recurrence or complications. Con-clusion In children,pancreatic pseudocysts can frequently be managed with early conservative treatment re-gardless of size of the pseudocysts.And the advantages of operative treatment are high cure rate,cyst of fast absorption and less complications.