CAJ | 학술논문

目的探讨急性胰腺炎后胰内假性囊肿的临床特点及处理方式.方法检索2008年12月至2012年2月因各种原因于本院实施外科治疗的急性胰腺炎后假性囊肿病例共151例.其中17例为急性胰腺炎后胰内假性囊肿,占同期外科治疗的急性胰腺炎后假性囊肿的11.3％.回顾分析17例患者的临床表现、诊断及治疗过程并进行随访.结果 17例患者中合并梗阻性黄疸3例,胰源性门脉高压7例,假性动脉瘤2例,行内引流8例,外引流5例,胰体尾及脾切除3例,局部切除1例.患者术后均恢复顺利.结论急性胰腺炎后胰腺内假性囊肿的并发症发生率高,鉴别诊断困难.如已导致并发症发生宜尽早处理.
목적 탐토급성이선염후이내가성낭종적림상특점급처리방식.방법 검색2008년12월지2012년2월인각충원인우본원실시외과치료적급성이선염후가성낭종병례공151례.기중17례위급성이선염후이내가성낭종,점동기외과치료적급성이선염후가성낭종적11.3％.회고분석17례환자적림상표현、진단급치료과정병진행수방.결과 17례환자중합병경조성황달3례,이원성문맥고압7례,가성동맥류2례,행내인류8례,외인류5례,이체미급비절제3례,국부절제1례.환자술후균회복순리.결론 급성이선염후이선내가성낭종적병발증발생솔고,감별진단곤난.여이도치병발증발생의진조처리.
Objectives The study aims were to analyze the clinical features and to explore the management of intrapancreatic pseudocysts after acute pancreatitis.Methods A retrospective study was conducted on 151 patients who received surgical treatment from Dec,2008 to Feb,2012 after acute pancreatitis.Based on CT/MRI findings and clinical data,there were 17 patients with intrapancreatic pseudocysts (11.3％).The clinical manifestations,diagnoses and treatments for these 17 patients were retrospectively analyzed,and the outcome after operations were followed.Results For the 17 patients,obstructive jaundice was present in 3 patients,pancreatic portal hypertension (PPH) in 7,pseudoaneurysm in 2.All 17 patients underwent operation.The surgical procedures included internal drainage (n=8),external drainage (n=5),distal pancreatic resection with splenectomy (n=3),and local resection (n=1).All patients recovered after the operations.Conclusions Intrapancreatic pseudocysts after acute pancreatitis had a high incidence of local complication.The diagnosis of these pseudocysts was difficult.The treatment should be performed early for those patients who had developed complications.