Magyar A, Flautner L
First Department of Surgery, Semmelweis University Medical School, Budapest, Hungary.
Acta Chir Hung. 1994;34(1-2):51-8.
Authors survey earlier definitions of classification of pancreatitis (Symposiums in Marseilles, 1963, Cambridge, 1983, Marseilles, 1984). They define the concept of postacute pancreatic pseudocyst based on their own clinical practice, describe its clinical view and characteristic signs. They noticed in 90 cases (9%) postacute pancreatic pseudocysts during 991 pancreatic pseudocyst operations at 850 patients in 5-year period in their own practice. That postacute pseudocysts were found 6 weeks after severe acute pancreatitis in patients who were clinically in recovering state, feverless and alimented orally. The operative treatment of postacute pseudocysts was in 70% outer drainage (in 58 cases from 63 were performed necrectomy, too), in 14% (13 cases) inner drainage and in 16% resection (from 14 cases 11 distal resections, 10 times associated with splenectomy). The chosen operative treatment was significantly (p < 0.01) more outer drainage and less inner drainage. The mortality and morbidity indexes of postacute pancreatic pseudocysts did not deviate significantly from the same values of the whole patient material.
作者回顾了胰腺炎分类的早期定义（1963年马赛研讨会、1983年剑桥研讨会、1984年马赛研讨会）。他们根据自身临床实践定义了急性胰腺炎后假性囊肿的概念，描述了其临床表现和特征性体征。在他们自己的实践中，5年期间对850例患者进行了991例胰腺假性囊肿手术，其中90例（9%）发现为急性胰腺炎后假性囊肿。这些急性胰腺炎后假性囊肿是在重症急性胰腺炎6周后在临床处于康复状态、无发热且经口进食的患者中发现的。急性胰腺炎后假性囊肿的手术治疗中，70%为外引流（63例中有58例同时进行了坏死组织清除术），14%（13例）为内引流，16%为切除术（14例中有11例为远端切除术，10次同时行脾切除术）。所选择的手术治疗方法中外引流显著更多（p < 0.01），内引流更少。急性胰腺炎后假性囊肿的死亡率和发病率指标与整个患者群体的相应值相比无显著差异。
