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Alternatives of timing and surgical treatments for giant pancreatic pseudocysts
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- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 21
- DOI:
- 10.3969/j.issn.1009-3079.2006.21.019
- Key Word:
- 巨大胰腺假性囊肿;手术时机;手术方法
Abstract： 目的:探讨巨大胰腺假性囊肿的外科处理方法及时机选择.方法:回顾性分析我院近10 a收治的29例巨大胰腺假性囊肿病例;根据外科干预方法不同,将病例分为内引流组(n=14),外引流组(n=7)和B超定位穿刺置管引流组(n=8).结果:29例巨大胰腺假性囊肿均需外科干预治疗,内引流组中1例并发肠梗阻,4例囊肿复发;外引流病例中,1例并发胰腺脓肿,2例假性囊肿复发,1例并发胰瘘和肠瘘;B超定位置管引流7例治愈,1例囊肿成熟后行囊肿空肠内引流术治愈.结论:对于早期巨大胰腺假性囊肿,可先行B超或CT定位置管引流,使囊肿缩小或消失;对于晚期成熟的假性囊肿,可根据实际情况灵活选择手术方法.
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