Objective To observe the effect of percutaneous drainage and surgical treatment in patients with pancreatic pseudocysts. Methods All cases of pancreatic pseudocysts who were invalid in expectant treatment were collected and analysed from January 2007 to December 2010 in the department of Gastroenterology and the department of General Surgery of our hospital. All cases were divided into percutaneous drainage group and surgical group, according to the method of treatment. Three months to 2 years were followed up. Re-sults A total of 40 patients, 23 males and 17 females, 16~65 years old (mean age 43.1 years) were stud-ied. The total efficiency rate was 100.0%, and the cure rate in the first time was 87.5%. Five patients were cured in percutaneous drainage group (n=8) and the cure rate was 62.5%, 32 cases were cured with surgical operation. Thirty patients were cured in the first time in surgery group and the cure rate was 93.8%. There was no significantly difference in efficacy between the two groups (P>0.05). Conclusion Both percutaneous drainage and surgical operation are effective in pancreatic pseudocyst. The wound in percutaneous drainage is smaller, some unsuccessful cases can undergo surgical operation at last without any bad effects. The wound in surgical operation is more large, but the curative effect is affirmative.%目的 观察经皮穿刺引流和手术治疗胰腺假性囊肿的疗效.方法 分析2007 年1 月至2010 年12 月在我院消化科和普外科住院治疗的保守治疗无效的病例资料齐全胰腺假性囊肿患者的所有临床资料.根据治疗方法,分为经皮穿刺引流和外科手术两组.随访3 个月~2 年.结果 40 例患者,男23 例,女17 例,年龄16~65 岁(平均43.1 岁).治疗总有效率100.0%,首次治愈率87.5%.经皮穿刺引流组8 例,首次治愈5 例(治愈率62.5%),余3 例手术治愈;外科手术组32 例,首次治愈30 例(治愈率93.8%),术后复发2 例,1 例再次手术治愈,1 例引流治愈.穿刺引流组和外科手术组疗效比较差异无统计学意义(P＞0.05).结论 穿刺引流与手术均是治疗胰腺假性囊肿的可靠疗法,穿刺引流为微创,如不成功再行手术无特殊影响.外科手术疗效好,疗程短,相对穿刺引流创伤较大.
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