内镜下经乳头引流术治疗胰腺假性囊肿的疗效观察

Endoscopic Papillary Drainage in the Treatment of Pancreatic Pseudocyst

目的探讨内镜下经乳头引流术治疗胰腺假性囊肿的疗效。方法回顾性分析2011年1月～2016年10月在南昌大学二附院消化科收治并采用内镜下经乳头引流术治疗胰腺假性囊肿的患者30例的临床资料,分析其手术方式、效果及并发症情况。结果 28例患者一次性置管成功,2例不成功者该行外科手术;发生急性胰腺炎1例,2例术后出现高淀粉酶血症,均予抗感染、对症治疗后缓解;无十二指肠穿孔、出血、胆管炎及死亡病例;2例术后5周出现引流管堵塞,内镜下更换引流管。随访6～24个月,影像学显示24例假性囊肿完全消失,4例较前明显的缩小。腹痛腹胀症状消失。结论内镜下乳头引流术是治疗胰腺假性囊肿的有效疗法。

Objective To investigate the efficacy of endoscopic transpapillary drainage in the treatment of pancreatic pseudocyst.Methods Clinical data of30patients admitted to the department of gastroenterology of the Second Affiliated Hospital of Nanchang University from January2011to October2016who were treated with endoscopic nipple drainage for pancreatic pseudocyst were retrospectively analyzed,and their surgical methods,effects and complications were analyzed.Results28patients were successfully treated with one-time catheterization and2patients were unsuccessful in the operation.Acute pancreatitis occurred in1case and hyperamylase in2cases postoperatively,all of which were relieved after anti-infection and symptomatic treatment.There were no cases of duodenal perforation,bleeding,cholangitis or death.In2cases,the drainage tube was blocked5weeks after surgery,and the drainage tube was replaced under endoscopy.Following up for6to24months,imaging showed that24cases of pseudocyst completely disappeared and4cases were significantly smaller than before.Abdominal pain and distension disappeared.Conclusion endoscopic nipple drainage is an effective treatment for pseudocyst of pancreas.Conclusion Endoscopic transpapillary cyst drainage is an effective treatment for pancreatic pseudocysts.