胰腺囊性肿瘤临床诊断与治疗指南的进展与比较

随着现代影像学技术的进步及人民群众健康体检意识的提高,胰腺囊性肿瘤(PCN)的检出率显著上升。PCN整体预后较好,且手术技术的进步及多学科诊断与治疗的普及显著提升了该病的诊断与治疗水平。虽然国内外已有多个关于PCN的临床指南发布,但其鉴别诊断、手术指征把握、手术方式选择、患者随访等仍存在诸多争议。各级医疗中心的诊断与治疗水平亦存在明显差异,这给PCN的规范化诊断与治疗带来挑战。笔者根据PCN最新临床指南与临床研究进展,从疾病诊断、治疗和随访等方面总结不同指南之间存在的争议,旨在进一步提升该病的规范化诊断与治疗水平。

Advances in and comparison between related clinical guidelines for diagnosis and treatment of pancreatic cystic neoplasm

With the development of modern imaging technology and improvement of physical examination consciousness of people,the incidence of pancreatic cystic neoplasm(PCN)has increased significantly.The overall prognosis of PCN is good,and great progress in surgical techniques and multidisciplinary teamwork has been made in pancreatic surgery.Although many guidelines have been released at home and abroad,there are controversies in the differential diagnosis,operative indications,surgical procedure,and the follow-up strategies toward patients with PCN.There are also significant differences in the level of diagnosis and treatment of medical centers,which brings certain challenges to the standardized diagnosis and treatment of PCN.Based on the latest clinical guidelines and new developments in clinical researches,the authors summarize the controversies of different guidelines in the diagnosis,treatment and follow-up of PCN in order to further improve the standardization of the diagnosis and treatment.