超声引导经皮引流治疗胰腺假性囊肿

Ultrasound-guided percutaneous drainage for pancreatic pseudocyst

目的 探讨超声引导经皮引流治疗胰腺假性囊肿 (pancreaticpseudocyst,PPC)的临床价值。 方法 2 0 0 0年 12月～ 2 0 0 3年 10月我院采用超声引导经皮引流治疗PPC 12例 ,其中单纯穿刺抽液 1例 ,置管引流 11例。 结果 1例因囊腔与主胰管相通 ,改行开腹囊肿空肠Roux -Y吻合术 ,余 11例囊肿消失。引流时间 7～ 90d ,平均 2 8d。无并发症发生。 12例随访6～ 34个月 ,平均 18个月 ,1例复发 ,但较引流前明显缩小。 结论 超声引导经皮穿刺抽液或置管引流是治疗PPC一种简单可行的方法 ,具有创伤小 ,并发症少 ,早期、多部位、重复治疗等优点。

Objective To investigate the therapeutic value of ultrasound-guided percutaneous drainage in the treatment of pancreatic pseudocyst. Methods Twelve patients with pancreatic pseudocyst underwent ultrasound-guided percutaneous drainage from December 2000 to October 2003 in this hospital, including 1 case of simple puncture aspiration and 11 cases of drainage placement. Results A conversion to open cyst-jejunum Roux-en-Y anastomosis was required in 1 case because the cyst and the main pancreatic duct opened into each other. Pseudocysts disappeared in the remaining 11 cases. The drainage time was 7～90 days, with a mean of 28 days. No complications occurred. Follow-up in the 12 cases for 6～34 months (mean, 18 months) found 1 case of recurrence of cyst which decreased remarkably in size. Conclusions Ultrasound-guided percutaneous puncture aspiration and drainage for pancreatic pseudocyst is simple and feasible, offering advantages of minimal invasion and fewer complications. The procedure may be applied repeatedly at early stage to multiple sites.