论文部分内容阅读
目的探讨急性胰腺炎后胰腺假性囊肿的临床诊断与治疗方法。方法 38例急性胰腺炎后合并胰腺假性囊肿的患者为研究对象,对其临床诊断和治疗方法及效果进行分析。结果急性胰腺炎后胰腺假性囊肿B超检查确诊率为92.1%,CT检查确诊率为94.7%,两种检查方法的诊断确诊率比较差异无统计学意义(P>0.05)。24例患者采取保守治疗(内引流术10例,外引流术14例),11例患者囊肿消失,3例死亡(2例急性肾功能衰竭和1例感染性休克),随访1年后囊肿均无复发。结论急性胰腺炎后胰腺假性囊肿病情危急,死亡率也相对比较高,结合B超和CT能够提高该病的诊断。同时,临床中依据囊肿的大小和时间以及患者的自身情况进行合理的选择治疗方案,先给予保守治疗,对于无效者可以采取手术治疗,提高临床疗效。
Objective To investigate the clinical diagnosis and treatment of pancreatic pseudocyst after acute pancreatitis. Methods 38 patients with pancreatic pseudocyst after pancreatic pseudocyst were studied, and their clinical diagnosis and treatment methods and effects were analyzed. Results The diagnosis rate of pancreatic pseudocyst by ultrasonography was 92.1% after acute pancreatitis and 94.7% by CT. There was no significant difference between the two methods (P> 0.05). Twenty-four patients underwent conservative treatment (internal drainage in 10 and external drainage in 14), cyst disappearance in 11, death in 3 (2 with acute renal failure and 1 with septic shock), and 1 year after follow-up No recurrence. Conclusion Pancreatic pseudocyst after acute pancreatitis is in critical condition with relatively high mortality rate. Combined with B-ultrasound and CT can improve the diagnosis of this disease. At the same time, according to the clinical cyst size and time and the patient’s own situation a reasonable choice of treatment options, first to give conservative treatment, for ineffective surgery can be taken to improve clinical efficacy.