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The clinical application of percutaneous catheter external draining of pancreatic pseudocyst guided by CT
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 10
- DOI:
- 10.3760/j.issn:1005-1201.2002.10.011
- Key Word:
- 胰腺假囊肿;体层摄影术,X线计算机;引流,体位;导管,留置
Abstract： 目的探讨CT引导下经皮胰腺假性囊肿穿刺置管外引流术的临床应用价值.方法1997年1月至2001年1月,对29例[男21例,女8例;年龄22～71岁,平均(48.2±13.6)岁]各种原因引起的假性胰腺囊肿患者进行了CT引导下的经皮穿刺置管持续外引流术.通过CT扫描确定假性胰腺囊肿的位置、穿刺途径、角度及深度后,进行穿刺、置管外引流,并对引流后的情况进行随访观察.结果 29例穿刺30次,穿刺成功率100%,穿刺入路包括腹前壁17例(18次),侧壁8例,背部4例.共放置引流管30根.28例得到随访, 失随访1例,随访期1～20个月[平均(8.07±4.04)个月].其中19例囊肿消失后拔管,拔管后随访期4～14个月,平均(8.29±4.03) 个月, 除2例复发后再穿刺,有17例未复发.5例外引流后1～4个月转行手术治疗,4例仍在随访中,治疗有效率65.52%(19/29).结论 CT引导下胰腺假性囊肿穿刺外引流术手术损伤小,安全有效,成功率高,并发症少.
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