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[酒精性胰腺炎与假性囊肿。留尼汪岛20例前瞻性研究]

[Alcoholic pancreatitis and pseudocysts. Prospective study of 20 cases in Réunion Island].

作者信息

Fournier D, Eymeri J C, Koycha F

机构信息

Service de Chirurgie, Centre Hospitalier André Bouron, Saint-Laurent.

出版信息

J Chir (Paris). 1990 Aug-Sep;127(8-9):396-403.

PMID:2229213
Abstract

In the french indian ocean's island whose name is Reunion, between 1984 and 1986, 20 pancreatic pseudocysts, exclusively encountered in alcoholic patients, were submitted to a prospective study. Most of the lesion were very symptomatic, large and extrapancreatic. Accordingly to Marseille's classification, most of the patients were suffering from acute or chronic relapsing pancreatitis. 18 patients were submitted to a therapeutic procedure. Internal drainage was performed in 9 patients, and external drainage was performed in 5. In addition, pancreatic resection was carried out in 2 patients, and needle aspiration in 2. Comments concern potential specificities of the population which was studied. Special emphasis concern the necessity of preoperative computerized tomographic scanning, the indications of percutaneous external drainage and the long-term survival of patients.

摘要

在法属印度洋岛屿留尼汪,1984年至1986年期间,对20例仅在酒精性患者中出现的胰腺假性囊肿进行了一项前瞻性研究。大多数病变症状严重、体积大且位于胰腺外。根据马赛分类法,大多数患者患有急性或慢性复发性胰腺炎。18例患者接受了治疗。9例患者进行了内引流,5例进行了外引流。此外,2例患者进行了胰腺切除术,2例进行了穿刺抽吸。评论涉及所研究人群的潜在特异性。特别强调术前计算机断层扫描的必要性、经皮外引流的指征以及患者的长期生存情况。

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