胰腺假性囊肿的外科治疗：附89例报告

目的：探讨胰腺假性囊肿的治疗策略。方法：回顾性分析近5年湘雅医院普通外科收治的89例胰腺假性囊肿临床资料，根据囊肿部位、形成时间及囊壁厚度，采用非手术治疗20例，经皮囊肿穿刺引流7例，开腹手术62例（外引流8例、内引流45例、囊肿切除9例）。结果： 全组无死亡病例，手术后并发症发生率15.9%，随访3个月至5年，复发率5.6%。结论：胰腺假性囊肿的治疗宜根据情况采用不同方式，非手术治疗适于无并发症者;急诊手术应选择外引流;囊壁成熟者，选择内引流术疗效好。

Surgical management of pancreatic pseudocyst: a report of 89 cases

Objective To explore the appropriate strategy for the management of pancreatic pseudocyst.(Methods) A total of eighty-nine patients with pancreatic pseudocyst from Jan 2000 to Jan 2005 managed in Xiangya hospital were involved in this study for retrospective analysis.Conservative management,percutaneous tube drainage and operation therapies were choicend according to the time of pseudocyst formation,the(thickness) of pseudocyst wall and the location of the pseudocyst.Tweenty patients were cured conservatively;7 patients underwent percutaneous tube drainage.External drainage was performed in 8 patients,internal (drainage) in 45,and cyst excision in 9.Results There was no operative mortality.All patients were(followed) up for 3 months to 5 years.The incidence of complications in this patients was 15.9%(11/69),with a recurrence rate of 5.6 %(5/89).Conclusions The treatment of pancreatic pseudocysts varied(under) different conditions.Pancreatic pseudocysts without complications should be treated conservatively.(External) drainage should be chosen in emergency operation.When the cyst is matured,internal drainage gives good results.