
付靖楠1; 韩 悦1 (通讯作者); 任晋宏2
1.武警特色医学中心特勤急救外科,天津 300162 2.武警特色医学中心神经重症医学科,天津 300162
摘要:胰腺假性囊肿的定义是一个被囊壁包裹的液体积聚物,其囊壁有明显的炎症特征,且无明显坏死,在胰腺炎发作后4周内无法做出诊断。临床表现通常不具特异性,腹痛是最常见的症状。如怀疑有假性囊肿存在,应进行增强CT和/或磁共振成像以确认诊断并评估假性囊肿的特征。在诊断存在不确定的情况下,可进行囊液分析及内镜超声检查。胰腺假性囊肿会并发囊内出血、囊内感染和囊肿破裂等并发症。胰腺假性囊肿的治疗取决于患者的症状及出现的并发症,如胆道及胃出口梗阻。胰腺假性囊肿的治疗方案主要有内镜引流及手术引流。本综述的目的是总结目前关于胰腺假性囊肿诊疗方式,并讨论该病症最新的治疗情况。
关键词:胰腺假性囊肿;胰腺积液;胰腺囊性病变
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