Pavlovsky M, Perejaslov A, Chooklin S, Dovgan Y
Department of Surgery, Medical Institute, Lviv, Ukraine.
Hepatogastroenterology. 1998 May-Jun;45(21):846-8.
BACKGROUND/AIMS: Between 1980 and 1995, we treated 98 patients with pancreatic pseudocysts. The aim of this study was to determine the time and indices for both surgical and non-surgical management of pancreatic pseudocysts.
Evaluate the results of treatment of 98 patients with pancreatic pseudocysts.
Resolution of the pseudocyst occurred in 20.4% of cases, after intensive therapy, with satisfactory clinical follow-up. Transcutaneous drainage was used in 38.8% of patients. In 93.3% of cases of immature pancreatic pseudocyst, transcutaneous drainage was effective. Patients who eventually underwent an operation tended to have larger pseudocysts than patients managed non-operatively. Fifty patients underwent primary operative therapy, with 36% undergoing emergency operations for pseudocyst-related complications. Eighty-three per cent of cases of external drainage resulted in postoperative complications.
Small pseudocysts can be resolved with treatment in the early stages of development. Surgical treatment of patients with immature pseudocysts is necessary when complications develop. Internal drainage is the operation of choice for the treatment of mature pseudocysts without complications.
背景/目的：1980年至1995年间，我们治疗了98例胰腺假性囊肿患者。本研究的目的是确定胰腺假性囊肿手术及非手术治疗的时机和指标。
评估98例胰腺假性囊肿患者的治疗结果。
20.4%的病例在强化治疗后假性囊肿消退，临床随访结果满意。38.8%的患者采用了经皮引流。在93.3%的未成熟胰腺假性囊肿病例中，经皮引流有效。最终接受手术的患者的假性囊肿往往比非手术治疗的患者更大。50例患者接受了一期手术治疗，其中36%因假性囊肿相关并发症接受了急诊手术。83%的外引流病例出现了术后并发症。
小的假性囊肿在其发展的早期阶段通过治疗可以消退。未成熟假性囊肿患者出现并发症时需要进行手术治疗。对于无并发症的成熟假性囊肿，内引流是首选的手术治疗方法。
