胰腺假性囊肿在超声内镜引导下穿刺与治疗

Diagnosis and treatment guided by endoscopic ultrasonography in location lesion of pancreas

目的 :评价胰腺假性囊肿超声内镜引导下穿刺诊断与治疗价值。 方法 :采用OlympusGF -UM30P穿刺超声内镜及 18G穿刺针对胰腺假性囊肿病灶经胃壁穿刺活检及置入塑料支架行胰腺囊肿胃内引流术。 结果 :穿刺成功率、取样满意率、诊断准确率均为 10 0 %。胰腺囊肿穿刺后最大径缩小均超过 5 0 % ,2例囊肿完全消失 ,随访术后 3～ 6个月 5例囊肿仍较术前缩小 5 0 % ,1例行囊肿胃置管内引流术者术后 1周囊肿缩小 ,6个月无复发。 10例穿刺者未发生任何近期和远期并发症。 结论 :超声内镜引导下穿刺对胰腺假性囊肿的诊断与治疗有较大价值 ,并发症少 。

Objectives:To investigate the significance of diagnosis and treatment guided by EUS in locating lesion of pancreas. Methods: Transgastric aspiration biopsy and placeing plastic stent were done by endoscopic ultrasonography, Olympus GF UM30P with 18G needle. Results: The successful rate of puncture and accuracy of diagnosis are both 100%.The diameters of all of the pancreatic cysts were less than 50% of that after the operation,two pancreatic cysts disappeared.Transgastiric placeing plastic stent was done in one patient,and its cyst was less than 50% after 1 week. Five pancreatic cysts were less than 50% after three six.There is no early and delay complications. Conclusions: Diagnosis and treatment guided by EUS in location lesion of pancreas is useful.