超声内镜下经胃、十二指肠乳头引流治疗胰腺假性囊肿的效果评价*

Evaluation of endoscopic ultrasound-guided transgastric or transpapillary drainage in treatment of pancreatic pseudocyst*

摘要:

目的 探究超声内镜（EUS）下经胃或十二指肠乳头置管引流治疗胰腺假性囊肿（PPC）的临床疗效。方法 选取2012年3月－2015年3月该院收治的100例PPC患者，按临床治疗指标对其中的80例进行EUS下经胃穿刺置管引流，20例行EUS下经十二指肠乳头穿刺置管引流。记录所有患者的治疗效果以及并发症的发生情况。结果 100例患者的手术中成功率为95.00%，其中囊肿完全消失率为84.00%。100例患者中共有10例发生术中出血，3例发生支架移位堵塞，另有7例术后出现囊肿内部感染，并发症的发生率为20.00%。结论 对PPC患者进行EUS下经胃、十二指肠乳头穿刺置管引流治疗可以提高临床疗效，减少并发症，值得在临床上推广应用。

Abstract:

Objective To explore the clinical efficacy of endoscopic transgastric or transpapillary drainage in treatment of pancreatic pseudocyst. Methods 100 patients with pancreatic pseudocyst from March 2014 to March 2015, 80 cases were underwent endoscopic ultrasound-guided transgastric and the other 20 cases were underwent transpapillary drainage. The treatment effect and complications were recorded. Results The success rate was 95.00 %, and cysts completely disappeared in 84.00 % of the patients. Among all the patients there are 10 cases occurred intraoperative bleeding, 3 cases occurred stent clogging or migration and 7 cases occurred infection, the overall incidence of complications was 20.00 %. Conclusion Endoscopic transgastric or transpapillary drainage in treatment of pancreatic pseudocysts has better clinical curative effect, and can also reduce the occurrence of complications, which is worth popularizing clinically.