摘要
目的探讨胰腺囊肿的病因、诊断和治疗。方法回顾性分析1990年1月至2002年12月收治的74例胰腺囊肿病例资料。结果囊肿发生于急性胰腺炎后34例,慢性胰腺炎后37例,外伤后2例,先天性1例。囊肿最大40 cm×30 cm×30 cm,最小3.5 cm×3 cm×3 cm。单发囊肿68例,多发囊肿6例。内科保守治疗27例,治愈好转24例(88.9%),未愈3例(11.1%)。外科手术治疗47例,治愈好转44例(93.6%),未愈3例(6.4%)。结论外科手术是最有效的治疗方法,以囊肿或(和)胰管空肠Roux-en-Y吻合内引流为最常用术式,效果好,术后并发症少。
Objective To discuss the diagnosis and treatment of cystic disease in pancreas.Methods The clinical data of 74 patients with cystic disease in pancreas treated in our hospital from January 1990 to December 2002 were retrospectively analyzed.Results The cystic disease in pancreas was found after acute pancreatitis in 34 patients,after chronic pancreatitis in 37,after trauma in 2.Meanwhile,1 patient was found to suffer from congenital pancreatic cyst.The largest cyst was 40 cm×30 cm×30 cm in size while the smallest was 3.5 cm×3 cm×3 cm in size.Single cyst was found in 68 patients and multi-cysts in the other 6.Twenty-seven patients were treated with non-surgical procedure and the results showed that it was effective and curative in 24(88.9%) and failed in 3(11.1%).For the other 47 patients receiving surgical treatments,it was effective and curative in 44(93.6%) and failed in 3(6.4%).Conclusions Surgical treatment is effective for the cystic disease in pancreas.Cysto-pancreatojejunostomy or pancreatic-ductojejunostomy is the best choice due to their advantages of good drainage and lower incidence of complications.
出处
《中华肝胆外科杂志》
CAS
CSCD
2005年第5期299-301,共3页
Chinese Journal of Hepatobiliary Surgery
