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经皮穿刺置管引流和内镜经十二指肠乳头引流治疗胰腺假性囊肿的有效性和安全性临床对照研究
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Pancreatology
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1674-1935.2019.04.014
- Key Word:
- 经皮引流;内镜引流;胰腺假性囊肿
Abstract： 选取武警四川总队医院肝胆外科收治的85例胰腺假性囊肿患者,随机分为B超引导下经皮穿刺置管引流组(经皮组,43例)及内镜下经十二指肠乳头引流组(内镜组,42例).两组患者引流后血尿淀粉酶下降程度、囊肿缩小程度、症状缓解率及长期影像好转率、总并发症发生率、病死率、术后囊肿复发率、再次治疗率的差异均无统计学意义,表明两种引流方法均使症状长期缓解,减少复发,安全可靠.但内镜下经十二指肠乳头引流对胰腺假性囊肿短期症状缓解率低,经皮穿刺置管引流可在短期内缓解临床症状但住院时间较长,因此经皮穿刺置管引流可作为内镜引流失败的补救措施.
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