胰腺假性囊肿的临床治疗进展

胰腺假性囊肿多继发于急、慢性胰腺炎等胰腺疾病,临床表现各不相同,部分患者无明显不适,可选择保守治疗。随着内镜技术的发展,内镜下经胃肠道壁穿刺置管引流术、内镜下经十二指肠乳头穿刺囊肿置管引流术、超声胃镜引导下经胃肠道壁穿刺置管引流术因技术操作简单、临床效果肯定、并发症少而逐渐应用于临床。当然传统的经皮超声引导下囊肿引流术同样适应于某些患者的治疗。当内科治疗失败或治疗效果不佳时,可采用外科手术治疗。本文综述了以上治疗方式的最新进展,并进行总结。

Progress in clinical treatment of pancreatic pseudocystYU Gangling¹; CHEN Ping²(1. Inner Mongolia Medical University, Hohhot 010059, China; 2. Department of Gastroenterology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China)

pancreatic pseudocyst is often secondary to pancreatic diseases such as acute and chronic pancreatitis, and its clinical manifestations are different, and some patients have no obvious discomfort, so they can choose conservative treatment, with the development of endoscopic technology, we can choose endoscopic gastrointestinal puncture drainage, endoscopic transduodenal papillary cyst drainage and endoscopic ultrasound-guided gastrointestinal drainage. At present, domestic doctors are more inclined to endoscopic ultrasound treatment, in addition, percutaneous drainage can also be used. When medical treatment fails or the treatment effect is not good, surgical treatment can be used, and endoscopy combined with laparoscopic surgery can be used. In this paper, the latest progress of the above treatments is reviewed and summarized.