Andrén-Sandberg A, Evander A, Isaksson G, Ihse I
Acta Chir Scand. 1983;149(2):203-6.
The management of pancreatic pseudocysts was reviewed in 41 patients, 28 of whom were treated surgically, 9 by non-surgical percutaneous drainage and 4 expectantly. In 20 patients an internal drainage was created and in 15 an external drainage. Hospital mortality was 2% (1/41) and postoperative mortality 4% (1/28). External drainage was associated with 40% early complications and 33% recurrent cysts or chronic internal or external fistulas; the corresponding figures for internal drainage were 15% and 5%, respectively. The 4 patients who were managed expectantly with disappearance of the cysts had an uneventful course. The advent of ultrasound and computerized tomography (CT) has been of great diagnostic value. As external drainage proved inferior to internal drainage in the present study, percutaneous puncture guided by ultrasound or CT and creation of non-operative external drainage is not a recommended treatment. Expectant management with repeated ultrasound examinations may be chosen in selected cases.
对41例胰腺假性囊肿的治疗情况进行了回顾。其中28例接受了手术治疗，9例采用非手术经皮引流，4例采用保守观察。20例行内引流术，15例行外引流术。医院死亡率为2%（1/41），术后死亡率为4%（1/28）。外引流术伴有40%的早期并发症以及33%的囊肿复发或慢性内瘘或外瘘；内引流术的相应数字分别为15%和5%。4例经保守观察囊肿消失的患者病情平稳。超声和计算机断层扫描（CT）的出现具有很大的诊断价值。由于在本研究中外引流术被证明不如内引流术，因此不推荐在超声或CT引导下经皮穿刺并建立非手术外引流这种治疗方法。在某些选定的病例中，可选择通过反复超声检查进行保守观察治疗。
