B超引导下穿刺置管引流治疗创伤性胰腺假性囊肿

目的：探讨B超引导下穿刺置管引流对创伤性胰腺假性囊肿（TPP）的治疗效果。
方法：回顾性分析45例TPP患者的临床资料及B超引导下穿刺置管引流的方法及效果。
结果：全组45例中腹部外伤40例，医源性创伤5例。TPP在伤后或术后6~60 d(平均31d)发现。TPP最长径5~13［平均（9.2±2.3）cm］。囊液淀粉酶均＞1 000 U/L。45例均行B超引导T穿刺置管引流治疗。引流时间7~86 d，(平均37 d)。引流液体20~500 mL/d。41例（91.1%）引流治疗治愈。4例（8.9%）引流量每天维持在100~200 mL，2周后行ERCP检查提示主胰管断裂，改用手术治疗治愈。45例均随访3~12个月（平均8个月），无不适症状。B超、CT检查无囊肿复发。
结论：B超引导下穿刺置管引流是处理TPP的一种简单、有效的方法，大部分患者可获得理想的效果。

The treatment of traumatic pseudocyst of pancreas with ultrasound-guided percutaneous drainage

Objective:To investigate  the effect of ultrasound-guided percutaneous drainage（UGPD）for patients with traumatic pseudocyst of pancreas (TPP).
Methods:Retrospective analysis of the clinic feature, treatments and the effect of 45 cases of TPP treated in our hospital in recent six years were made.
Results:Of the 45 cases,40 cases were caused by abdominal trauma,5 cases were caused by injury in the operation of splenectomy for patients with portal hypertension. The TPPs were found from 6 days to 60 days (average: 31days) after the injury of pancreas. The diameters of TPP were from 5 to 13 cm with average of (9.2±2.3)cm. All the 45 patients underwent UGPH. The drainage time was 7 to 86 days with average time of 37 days. The drainage fluids were 20 to 500 ml every day. Forty-one (91.1%) patients were cured by UGPH; and four (8.9%) patients were changed to perform operation because of ERCP showing breaking of the pancreatic duct after two weeks drainage. All patients were recovered with no complication and no recurrence for 3 months to one year follow-up.
Conclusions:UGPD was effective method for patients with TPP, and most of the patients can get a good prognosis.