胰腺假性囊肿的临床治疗进展

PROGRESS IN CLINICAL TREATMENT OF PANCREATIC PSEUDOCYST

胰腺假性囊肿多继发于急、慢性胰腺炎等胰腺疾病,临床表现各不相同,部分患者无明显不适,可选择保守治疗。随着内镜技术的发展,内镜下经胃肠道壁穿刺置管引流术、内镜下经十二指肠乳头穿刺囊肿置管引流术、超声胃镜引导下经胃肠道壁穿刺置管引流术因技术操作简单、临床效果肯定、并发症少而逐渐应用于临床。当然传统的经皮超声引导下囊肿引流术同样适应于某些患者的治疗。当内科治疗失败或治疗效果不佳时,可采用外科手术治疗。本文综述了以上治疗方式的最新进展,并进行总结。

Pancreatic pseudocyst is often secondary to pancreatic diseases such as an acute or chronic pancreatitis,and its clinical manifestations are different. For example,some patients have no obvious discomfort,who can choose conservative treatments. With the development of endoscopic technology,endoscopic drainage and endoscopic ultrasonography guided transgastric drainage of pancreatic pseudocysts are gradually used in clinical treatments,due to simple technical operation,positive clinical effect and few complications. And the traditional percutaneous catheter drainage is also adapted to the treatment of some patients. When medical treatment fails or the treatment is ineffective,surgical treatment may be used. In this paper,the latest advances of the above treatments are reviewed and summarized.