摘要
目的探讨假性胰腺囊肿并胆道梗阻的手术治疗方式与疗效。方法结合文献对18例假性胰腺囊肿并胆道梗阻手术治疗的临床资料进行分析。结果本组18例,治愈17例,死亡1例。术后出现消化道出血5例,经保守治疗痊愈4例,其中1例出现反复大量出血,导致肝、肾功能衰竭,手术后16d死亡。术后3例出现黄疸加深,肝脏功能损害,经保肝等治疗黄疸消退痊愈。术后感染发热2例,经抗炎治疗痊愈,无胰瘘、胆瘘发生。术后随访半年以上未见囊肿复发。结论囊肿合并胆道梗阻必须同时处理,囊肿仍以外科手术内引流为主,RouxenY空肠囊肿吻合较理想,胆道梗阻选择俄狄氏括约肌切开或胆肠吻合术。
Objective:To investigate the surgery modality of and its c ur ative effect on pancreatic pseudocyst complicated with obstruction of biliary tr act.Methods:A retrospective analysis of 18 cases with pancreatic pseudocyst comp licated obstruction of biliary tract who were operated on.Results:Eighteen cases were subjected to surgical treatment. Among them 17 cases were cured and one ca se died.There were 5 cases experienced alimentary tract hemorrhage,of which 4 cases were cured by medical treatment and one case died for hepatic failure and renal failure postoperative 16 days; 3 cases with liver functional lesion were cured by medical treatment;2 cases with postoperative infection were cured by an ti-infection.All cases did not recur cyst as followed up for 6 months.Conclusio n:The patients should simultaneously be treated for both cyst and obstruction of biliary tract.The optimal surgical procedure would be Roux-enY anastomosis in treatment of pancreatic pseudocyst and Oddi’s sphincterotomy or chole-intestin al anastomosis to treat obstruction of biliary tract.
出处
《实用临床医学（江西）》
CAS
2005年第7期71-73,共3页
Practical Clinical Medicine
关键词
假性胰腺囊肿
胆道梗阻
外科手术
pancreatic pseudocyst
obslruction
biliary surgery
