CT导向下经皮穿刺硬化治疗胰腺假囊肿

CT-guided Percutaneous Drainage Sclerotic Therapy for the Treatment of Pancreatic Pseudocysts

目的 探讨CT引导下经皮穿刺治疗胰腺假囊肿(PPC)的价值。资料与方法 搜集直径3～12cm的PPC24例,CT引导下经皮穿刺引流并注入硬化剂平阳霉素8mg,并根据囊肿大小分为2组。第1组直径3～6cm 16例,第2组直径7～12cm 8例。随访1～3个月,观察治疗效果。结果 24例囊肿消失19例,有效率为79.2％,其中第1组14例,第2组5例,两组对照,P<0.05。结论 CT引导下经皮穿刺治疗PPC是一种安全、有效的方法,特别是对直径小的PPC其治疗效果优于直径大的PPC。

Objective To evaluate CT-guided percutaneous drainage sclerotic therapy in the treatment of pancreatic pseudo-cysts . Materials and Methods Twenty-four cases with pancreatic pseudocysts were collected. According to lesion' s diameter, the patients were divided into group A (3 - 6cm, n = 16) and group B (7 ~ 12cm, n = 8). The procedure was performed in all patients with injection of 8mg bleomycin as sclerosing agent. The patients were followed for 1~3 months and the therapeutic results were evaluated. Results Of the total 24 cases, subsiding of the cyst occurred in 19 (79.2% ), of which 14 were in group A and 5 were in group B, with significant difference existing between the two groups (P < 0.05) . Conclusion CT-guided percutaneous drainage sclerotic therapy is an effective and safe technique for the treatment of pancreatic pseudocysts, especially for the smaller pseudocysts.