重症急性胰腺炎合并胰腺假性囊肿治疗的研究进展

Progress of treatments of severe acute pancreatitis complicated by pancreatic pseudocyst

胰腺假性囊肿是胰腺炎的常见并发症，目前有多种治疗方式，但方式的选择一直没有达成共识。经皮穿刺置管引流、内镜下引流、外科手术等几种胰腺假性囊肿治疗方式各有其优缺点．经皮穿刺置管引流治疗的成功率为42％～96％，死亡率很低，但复发率较高。外科手术引流胰腺假性囊肿的成功率较高，但并发症发生率及死亡率也较高，因此只在极少数情况下使用。内镜下引流的成功率较高，并发症发生率和死亡率较低，被一些学者推荐为假性囊肿的首选方法。腹腔镜治疗胰腺假性囊肿的效果与内镜治疗相差不大，两种方法各有优劣，可以根据患者的实际情况进行选择。

Pancreatic pseudocyst, a common complication of acute pancreatitis , has various managements presently, but which management preferred is not certain. Percutaneous drainage, surgical treatment and endoscopic drainage has the advantages and disadvantages in the treatment of pancreatic pseudocyst. Percutaneous drainage has a technical suc- cess rate among 42% to 96%, a low mortality rate and a high recurrence rate. While surgical treatment has a high treatment success rate, also a high rate of complications and mortality, so which is only used in few cases. Endoscopic pseudocyst drainage is recommended as the first-line management with a high success rate, a low complication and mortality rate. Laparoscopic pseodocyst oenterostomyis probably similar to the endoscopic techniques with regard to ef- ficiency, so that specific method should be chosen according to individualized physical conditions.