[1]聂胜峰,曾志峰,丁 洁,等.内镜下经乳头引流术治疗胰腺假性囊肿的疗效观察[J].医学信息,2018,31(23):186-187.[doi:10.3969/j.issn.1006-1959.2018.23.055]
　NIE Sheng-feng,ZENG Zhi-feng,DING Jie,et al.Endoscopic Papillary Drainage in the Treatment of Pancreatic Pseudocyst[J].Journal of Medical Information,2018,31(23):186-187.[doi:10.3969/j.issn.1006-1959.2018.23.055]
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内镜下经乳头引流术治疗胰腺假性囊肿的疗效观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年23期
页码:
186-187
栏目:
出版日期:
2018-12-01

文章信息/Info

Title:
Endoscopic Papillary Drainage in the Treatment of Pancreatic Pseudocyst
文章编号:
1006-1959（2018）23-0186-02
作者:
聂胜峰1; 曾志峰1; 丁 洁1; 黄年根2
1.江西省新余市人民医院肝胆外科，江西 新余 338000；2.南昌大学第二附属医院内腔镜室，江西 南昌 330000
Author(s):
NIE Sheng-feng1; ZENG Zhi-feng1; DING Jie1; HUANG Nian-gen2
1.Department of Hepatobiliary Surgery,Xinyu People's Hospital,Xinyu 338000,Jiangxi,China;2.Department of Endoscopy,the Second Affiliated Hospital of Nanchang University,Nanchang 330000, Jiangxi,China
关键词:
胰腺假性囊肿; 内镜; 经乳头胰腺假性囊肿引流术
Keywords:
Pancreatic pseudocysts; Endoscope; Transpapillary pancreatic pseudocyst drainage
分类号:
R576
DOI:
10.3969/j.issn.1006-1959.2018.23.055
文献标志码:
B
摘要:
探讨内镜下经乳头引流术治疗胰腺假性囊肿的疗效。方法 回顾性分析2011年1月~2016年10月在南昌大学二附院消化科收治并采用内镜下经乳头引流术治疗胰腺假性囊肿的患者30例的临床资料，分析其手术方式、效果及并发症情况。结果 28例患者一次性置管成功，2例不成功者该行外科手术；发生急性胰腺炎1例，2例术后出现高淀粉酶血症，均予抗感染、对症治疗后缓解；无十二指肠穿孔、出血、胆管炎及死亡病例；2例术后5周出现引流管堵塞，内镜下更换引流管。随访6~24个月，影像学显示24例假性囊肿完全消失，4例较前明显的缩小。腹痛腹胀症状消失。结论 内镜下乳头引流术是治疗胰腺假性囊肿的有效疗法。
Abstract:
Objective To investigate the efficacy of endoscopic transpapillary drainage in the treatment of pancreatic pseudocyst. Methods Clinical data of 30 patients admitted to the department of gastroenterology of the Second Affiliated Hospital of Nanchang University from January 2011 to October 2016 who were treated with endoscopic nipple drainage for pancreatic pseudocyst were retrospectively analyzed, and their surgical methods, effects and complications were analyzed. Results 28 patients were successfully treated with one-time catheterization and 2 patients were unsuccessful in the operation. Acute pancreatitis occurred in 1 case and hyperamylase in 2 cases postoperatively, all of which were relieved after anti-infection and symptomatic treatment. There were no cases of duodenal perforation, bleeding, cholangitis or death. In 2 cases, the drainage tube was blocked 5 weeks after surgery, and the drainage tube was replaced under endoscopy. Following up for 6 to 24 months, imaging showed that 24 cases of pseudocyst completely disappeared and 4 cases were significantly smaller than before. Abdominal pain and distension disappeared. Conclusion endoscopic nipple drainage is an effective treatment for pseudocyst of pancreas.Conclusion Endoscopic transpapillary cyst drainage is an effective treatment for pancreatic pseudocysts.

参考文献/References:

[1]Behrns KE,Ben-David K.Surgical therapy of pancreatic pseudocysts[J].J Gastrointest Surg,2008,12(12):2231-2239．
[2]龚彪,潘亚敏,沈丽,等.十二指肠乳头囊肿引流术治疗胰腺假性囊肿[J].中华消化内镜杂志,2004,21(6):24-26．
[3]Ruckert F,Lietzmann A,Wihelm TJ.Long-term results after endoscopic drainage of pancreatic pseudocysts:A single-center experience[J].Pancreatology,2017,17(4):555-560.
[4]Nabi Z,Basha J,Reddy DN.Endoscopic management of pancreatic fluid collections-revisite[J].World J Gastroenterol,2017,23(15):2660-2672.
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更新日期/Last Update: 2018-12-17