目的 观察超声引导经皮穿刺引流治疗胰腺假性囊肿的临床疗效.方法 以医院收治的胰腺假性囊肿患者为研究对象,其中234例行超声引导下经皮穿刺置管引流治疗(引流组),32例行外科手术治疗(手术组),比较两组的住院天数、临床疗效、术后并发症以及复发率等指标.结果 引流组均成功完成超声引导下经皮穿刺置管引流,且未出现胰漏、感染扩散等并发症,住院天数[(19±7.8)d和并发症发生率(0.4％)均显著低于手术组[(23±8.9)d、6.3％](P＜0.05);引流组治疗总有效率(96.2％)和假性囊肿复发率(2.3％)与手术组(96.7％、3.1％)比较无统计学差异(P＞0.05).结论 超声引导下经皮穿刺置管引流治疗胰腺假性囊肿具有微创、住院时间短及并发症少等优点,且复发率低,疗效更好,可作为临床首选的治疗方式.%Objective To observe the effects of ultrasound guided percutaneous puncture drainage in the treatment of pancreatic pseudocyst.Methods The patients with pancreatic pseudocyst admitted to our hospital were selected.234 patients received ultrasonic-guided percutaneous puncture catheter drainage (drainage group) and 32 patients received surgical treatment (surgical group).The length of stay (LOS),effects,postoperative complications,recurrence rate and other indexes between the two groups were compared.Results All patients in the drainage group successfully received ultrasonic-guided percutaneous puncture catheter drainage and had no pancreatic leakage,infection diffusion and other complications.The LOS [(19 ±7.8)d] and the incidence of complications (0.4％) in the drainage group were significantly lower than those in the surgical group [(23 ± 8.9)d,6.3％] (P ＜ 0.05);the overall response rate (ORR) (96.2％) and the recurrence rate of pseudocyst (2.3％) in the drainage group showed no statistical difference from those (96.7％,3.1％) in the surgical group (P＞ 0.05).Conclusion Ultrasonic-guided percutaneous puncture catheter drainage has such advantages as minimal invasion,short LOS and few complications,and low recurrence rate and better effects in the treatment of pancreatic pseudocyst.Therefore,it may be used as a clinically preferred therapy.
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