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63例急性胰腺炎后胰腺假性囊肿的内科综合治疗
引用本文:章静,冯琦,冯凯祥,张伟,刘华柱,付文惠,刘玲.63例急性胰腺炎后胰腺假性囊肿的内科综合治疗[J].华西医学,2010(1):88-89.
作者姓名:章静  冯琦  冯凯祥  张伟  刘华柱  付文惠  刘玲
作者单位:绵阳市中心医院消化内科,四川绵阳621000
摘    要:目的:探讨急性胰腺炎(AP)并发胰腺假性囊肿(PPC)的早期诊断、早期治疗方法及疗效观察。方法:急性胰腺炎患者给予常规治疗,每周复查B型超声,必要时复查上腹部CT,一旦检查诊断为胰腺假性囊肿形成,即给予TDP(CQ型特定电磁波治疗器)烤腹部相应囊肿部位皮肤,烤后再以适量黄冰解毒消肿软膏外敷腹部相应囊肿部位皮肤,每周复查B超1次,直致囊肿消失。结果:63例胰腺假性囊肿56例胰腺假性囊肿经保守治疗后完全消失,有效率88.89%(56/63),平均6-8周时间,最短时间2周,最长时间12周。7例囊肿未消失,其中2例囊肿有缩小,5例无效。结论:胰腺假性囊肿形成早期诊断,早期联合物理治疗和中药外敷疗效显著,不失为一种安全、有效、经济的治疗方法。

关 键 词:胰腺假性囊肿  物理治疗  中药外敷治疗  疗效

The Cyst Internal Medicine Cures Impatient Fake of 63 Impatient Example Pancreatitis Queens
Institution:ZHANG Jing,FENG Qi,FENG Kai-xiang,et al.(The Central Hospital of Mianyang,Mianyang Sichuan 621000,China )
Abstract:Objective: To investigate the early diagnosis,early treatment and curative effect of AP complicated by PPC.Methods: AP patients were received conventional therapy,rechecked B-mode ultrasound weekly and abdomen CT necessarily.The patients whose pancreatic pseudocyst was produced,were received TDP treatment,then paved the huangbing.The treatment was administered one time a week until the pancreatic pseudocyst disappeared.Results: Fifty-six patients's pancreatic pseudocyst disappeared completely in 63 patients.which effective power is 88.89%.The average time of disappeared pancreatic pseudocyst was 6-8 week which the shortest time is 2 weeks and longest time is 12 week.Seven patient's pancreatic pseudocyst have no any changes and 2 patient's pancreatic pseudocyst were decreased size and 5 patient's pancreatic pseudocys had no any effect.Conclusion: The early diagnosis,early treatment and curative effect of AP complicated by PPC and paved by traditional Chinese drug can be a safe,effective and economic treatment.
Keywords:pancreatic pseudocyst  physicotherapeutics  treatment of raditional Chinese drug paving outside  therapeutic effect
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