Millar A J, Rode H, Stunden R J, Cywes S
Department of Paediatric Surgery, University of Cape Town, South Africa.
J Pediatr Surg. 1988 Feb;23(2):122-7. doi: 10.1016/s0022-3468(88)80138-6.
The management of 25 children with pseudocyst of the pancreas presenting over a 30-year period is reviewed. Nearly a third could be managed nonoperatively, monitoring clinical signs, serum amylase, and in recent years the findings of ultrasound and CT scan. Persistence of symptoms, signs, and hyperamylasemia for more than 4 weeks indicated failed resolution in all but one case. Endoscopic retrograde cholangiopancreatography (ERCP) done in those who did not improve spontaneously facilitated operative strategy. Early operation and internal drainage in selected cases was well tolerated. Individualization of treatment is emphasized.
回顾了30年间收治的25例胰腺假性囊肿患儿的治疗情况。近三分之一的患儿可采用非手术治疗，监测临床症状、血清淀粉酶，近年来还包括超声和CT扫描结果。症状、体征和高淀粉酶血症持续超过4周表明除1例以外的所有病例均未自行消退。对未自发改善的患儿进行内镜逆行胰胆管造影（ERCP）有助于制定手术策略。在部分病例中早期手术及内引流耐受性良好。强调治疗要个体化。
