胰腺假性囊肿78例临床分析

Analysis of different treatment for 78 cases of pancreatic pseudocyst

目的：对胰腺假性囊肿（ pancreatic pseudocyst，PPC）的治疗方式和临床效果进行分析。方法对2002年1月至2012年6月收治的78例PPC的治疗方式、效果、并发症进行回顾性分析。结果保守治疗20例，在随访期间均能自行吸收。手术治疗58例：包括经皮穿刺置管引流术3例，术后1例出现胰瘘，1例并发脓肿；PPC外引流术5例，术后有2例出现胰瘘，1例出现出血；PPC-胃吻合15例，术后有1例出现吻合口出血；PPC-空肠Roux-en-Y吻合29例，术后有2例出现吻合口出血；PPC-十二指肠吻合2例；PPC切除术2例，术后有1例出现胰瘘；腹腔镜PPC-胃吻合2例。结论 PPC的治疗已趋于多样化，需根据患者的具体病情来选择不同的治疗方式，内引流仍是主要方式。

Objective To analyze the different procedures and their clinical effects on treatment for pan-creatic pseudocyst（ PPC） .Methods The management and outcome of 78 patients with PPC from Jan.2002 to Jun.2012 were retrospectively analyzed.Results 20 patients underwent conservative treatment and the pseudo-cysts absorbed spontaneously during follow up.Invasive procedures were performed in 58 cases, including percu-taneous catheter drainage in 3 cases with 1 postoperative pancreatic leakage and 1 postoperative pancreatic ab-scess;PPC external drainage in 5 cases with 2 postoperative pancreatic leakage and 1 postoperative bleeding;pancreatic pseudocyst stomach anastomosis in 15 cases with 1 postoperative gastrointestinal bleeding;Roux-en-Y cystjejunostomy in 29 cases with 2 gastrointestinal bleeding;cystduodenostomy in 2 cases;pancreatic pseudocyst excision in 2 cases with 1 postoperative pancreatic leakage; and laparoscopic cystogastrostomy in 2 cases.Con-clusions At present, there are various treatment options for pancreatic pseudocyst and it is necessary to choose treatment strategy according to patient＇s condition.Internal drainage is still the primary option of surgical proce-dures in treatment for pancreatic pseudocyst.