CAJ | 학술논문

目的比较7 F与10 F双猪尾塑料支架在超声内镜引导下穿刺引流胰腺假性囊肿中的疗效.方法回顾性分析南京大学附属南京鼓楼医院2010年至2014年超声内镜引导下穿刺引流胰腺假性囊肿治疗中使用7 F及10 F双猪尾塑料支架的患者资料,比较2组的住院天数、囊肿缩小至少50％所需时间、支架拔出时间、感染率、复发率等.结果 23例胰腺假性囊肿患者中,男14例、女9例,年龄13～70岁,平均45.1岁.11例患者使用7F双猪尾塑料支架(7F组),12例患者使用10 F双猪尾塑料支架(10 F组),2组均同时联合8.5F鼻囊肿管引流.7F组有4例(36.3％)出现发热;1例抗感染效果不佳,予更换支架;1例(9.1％)在随访过程中(随访52个月)出现复发,未干预.10 F组有5例(41.7％)出现发热;1例抗感染效果不佳,予更换支架;1例(8.3％)出现少量出血;1例(8.3％)支架在12 d后滑落,再次置入支架;2例(16.7％)在随访过程中(第11、24个月)出现复发,未干预.2组患者年龄、囊肿大小、支架拔出时间、感染率、复发率差异均无统计学意义.10 F与7F组比,囊肿缩小至少50％所需时间短、住院天数减少,差异均有统计学意义(P＜0.05).结论 10 F双猪尾塑料支架能较快引流囊肿,缩短患者住院时间,而感染率、囊肿复发率与7F支架相近.
목적 비교7 F여10 F쌍저미소료지가재초성내경인도하천자인류이선가성낭종중적료효.방법 회고성분석남경대학부속남경고루의원2010년지2014년초성내경인도하천자인류이선가성낭종치료중사용7 F급10 F쌍저미소료지가적환자자료,비교2조적주원천수、낭종축소지소50％소수시간、지가발출시간、감염솔、복발솔등.결과 23례이선가성낭종환자중,남14례、녀9례,년령13～70세,평균45.1세.11례환자사용7F쌍저미소료지가(7F조),12례환자사용10 F쌍저미소료지가(10 F조),2조균동시연합8.5F비낭종관인류.7F조유4례(36.3％)출현발열;1례항감염효과불가,여경환지가;1례(9.1％)재수방과정중(수방52개월)출현복발,미간예.10 F조유5례(41.7％)출현발열;1례항감염효과불가,여경환지가;1례(8.3％)출현소량출혈;1례(8.3％)지가재12 d후활락,재차치입지가;2례(16.7％)재수방과정중(제11、24개월)출현복발,미간예.2조환자년령、낭종대소、지가발출시간、감염솔、복발솔차이균무통계학의의.10 F여7F조비,낭종축소지소50％소수시간단、주원천수감소,차이균유통계학의의(P＜0.05).결론 10 F쌍저미소료지가능교쾌인류낭종,축단환자주원시간,이감염솔、낭종복발솔여7F지가상근.
Objective To compare the efficacy of stents 7 F and 10 F in drainage of pancreatic pseudocyst via EUS-FNA.Methods A retrospective analysis of patients with pancreatic pseudocyst who received endoscopic ultrasonography guided puncture drainage by using 7 F and 10 F double pigtail plastic stent respectively in Drum Tower Hospital of Nanjing University Medical School from 2010 to 2014 was conducted.Patients' hospitalization period, the time for 50％ cyst reduction, removal time, infection rate, and recurrence rate were compared.Results Twenty three patients with pancreatic pseudocyst were included, among whom 14 were male and 9 were female.The age ranged from 13 to 70 with an average of 45.1 years.Eleven patients were treated with 7 F pigtail plastic stents whereas 12 patients with 10 F pigtail plastic stents.All patients were treated with additional 8.5 F joint nose cyst drainage.Four cases in 7 F group got fever, 3 of whom were successful in anti-infection and 1 failed, having to change the stent.One case (9.1％) relapsed without symptoms after 52 months during the follow-up and received no intervention.Five cases in 10 F group got fever, 4 of whom were successful in anti-infection and 1 failed, having to change the stent.One case (8.3％) was identified as mild hemorrhage, and replantation needed to be performed in 1 case (8.3％) because stent was found to slip after 12 days.Two cases (16.7％) relapsed without symptoms after 11 and 24 months respectively and no intervention was received.There was no significant difference in patients' age, cyst size, removal time, infection rate and recurrence rate between the two groups.However, patients in group 10 F had a markedly shorter hospitalization period and time for cyst reduction by at least 50％ than those in group 7 F (P ＜ 0.05).Conclusion 10 F double pigtail plastic stents can drain the cyst faster, shorten the hospital stay, but there is no significant difference in infection or recurrence rate of cyst compared with 7 F stents.