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作者通过总结26年来诊治52例胰腺假性囊肿的经验,提出了自己的看法。本组52例中,保守治疗10例,其中3例囊肿自行消散,均为近期患急性胰腺炎者;手术治疗42例,内引流28例,外引流8例,其他手术6例。外引流术后发生胰瘘3例,囊肿复发1例,死亡2例。内引流的患者术后均无合并症出现,比较术后平均住院时间,与外引流的患者之间差异有显著意义。我们认为慢性囊肿不同于急性囊肿,前者入院后一经诊断即可行内引流治疗,无需再观察6周或更长时间,以防合并症的出现。急性囊肿则应观察6~8周,以待囊壁成熟纤维化;有些病例有自行消散的可能
The author put forward his own views by summarizing the experience of diagnosing and treating 52 cases of pancreatic pseudocysts in 26 years. The group of 52 patients, conservative treatment of 10 cases, of which 3 cases of spontaneous dissipated cysts, are suffering from acute pancreatitis; surgery in 42 cases, 28 cases of internal drainage, external drainage in 8 cases, 6 cases of other surgery. Pancreatic fistula occurred after external drainage in 3 cases, 1 case of cyst recurrence, 2 patients died. There was no postoperative complications in patients with drainage, the average postoperative hospital stay, and the difference between the drainage of patients with significant significance. We think that chronic cysts are different from acute cysts. After the former is admitted to the hospital, it can be treated by internal drainage. No further observation for 6 weeks or longer is needed to prevent the occurrence of complications. Acute cysts should be observed 6 to 8 weeks, to be mature cystic fibrosis; some cases have the possibility of dissipating