B超引导下穿刺置管引流治疗创伤性胰腺假性囊肿
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shilinzhan@tom.com

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The treatment of traumatic pseudocyst of pancreas with ultrasound-guided percutaneous drainage
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    摘要:

    目的:探讨B超引导下穿刺置管引流对创伤性胰腺假性囊肿(TPP)的治疗效果。
    方法:回顾性分析45例TPP患者的临床资料及B超引导下穿刺置管引流的方法及效果。
    结果:全组45例中腹部外伤40例,医源性创伤5例。TPP在伤后或术后6~60 d(平均31d)发现。TPP最长径5~13[平均(9.2±2.3)cm]。囊液淀粉酶均>1 000 U/L。45例均行B超引导T穿刺置管引流治疗。引流时间7~86 d,(平均37 d)。引流液体20~500 mL/d。41例(91.1%)引流治疗治愈。4例(8.9%)引流量每天维持在100~200 mL,2周后行ERCP检查提示主胰管断裂,改用手术治疗治愈。45例均随访3~12个月(平均8个月),无不适症状。B超、CT检查无囊肿复发。
    结论:B超引导下穿刺置管引流是处理TPP的一种简单、有效的方法,大部分患者可获得理想的效果。

    Abstract:

    Objective:To investigate  the effect of ultrasound-guided percutaneous drainage(UGPD)for patients with traumatic pseudocyst of pancreas (TPP).
    Methods:Retrospective analysis of the clinic feature, treatments and the effect of 45 cases of TPP treated in our hospital in recent six years were made.
    Results:Of the 45 cases,40 cases were caused by abdominal trauma,5 cases were caused by injury in the operation of splenectomy for patients with portal hypertension. The TPPs were found from 6 days to 60 days (average: 31days) after the injury of pancreas. The diameters of TPP were from 5 to 13 cm with average of (9.2±2.3)cm. All the 45 patients underwent UGPH. The drainage time was 7 to 86 days with average time of 37 days. The drainage fluids were 20 to 500 ml every day. Forty-one (91.1%) patients were cured by UGPH; and four (8.9%) patients were changed to perform operation because of ERCP showing breaking of the pancreatic duct after two weeks drainage. All patients were recovered with no complication and no recurrence for 3 months to one year follow-up.
    Conclusions:UGPD was effective method for patients with TPP, and most of the patients can get a good prognosis.

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詹世林, 陈建雄, 霍枫, 汪邵平, 蒲淼水. B超引导下穿刺置管引流治疗创伤性胰腺假性囊肿[J].中国普通外科杂志,2009,18(9):915-917.
DOI:10.7659/j. issn.1005-6947.2009.09.007

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  • 收稿日期:2009-02-16
  • 最后修改日期:2009-07-24
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  • 在线发布日期: 2009-09-15