本文選題：胰腺假性囊腫 + 超聲內(nèi)鏡��； 參考：《廣西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的探討超聲內(nèi)鏡對(duì)胰腺假性囊腫的預(yù)后評(píng)估作用,及其預(yù)后影響因素。方法回顧性分析2014年1月至2016年10月廣西醫(yī)科大學(xué)第一附屬醫(yī)院行保守治療的42例(共48個(gè)假性囊腫,其中6例多發(fā)假性囊腫患者拆分為12個(gè)假性囊腫)胰腺假性囊腫患者的臨床資料、假性囊腫的超聲內(nèi)鏡檢查結(jié)果、預(yù)后,并進(jìn)行隨訪。根據(jù)患者隨訪結(jié)果,將患者分為治愈組,未治愈組。對(duì)兩組的臨床資料、假性囊腫的超聲內(nèi)鏡結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)處理,分析。結(jié)果:1.胰腺假性囊腫小于等于6cm者33例,緩解者10例,大于6cm者15例,緩解3例,差別無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。2.并發(fā)于急性胰腺的假性囊腫為22例,緩解8例,并發(fā)于慢性胰腺炎的假性囊腫為20例,緩解0例,差別有統(tǒng)計(jì)學(xué)意義(P=0.004)。3.胰腺假性囊腫為單個(gè)者27例,緩解6例,假性囊腫為多個(gè)者15例,緩解2例,差別無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。4.胰腺假性囊腫位于胰頭部者10例,緩解者3例,位于體尾部者38例,緩解10例,差別無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。5.胰腺假性囊腫內(nèi)部存在分隔者11例,緩解者0例,無(wú)分隔者37例,緩解13例,差別有統(tǒng)計(jì)學(xué)意義(P=0.023)。6.胰腺假性囊腫內(nèi)部有固體內(nèi)容物者20例,緩解0例,無(wú)固體內(nèi)容物者28例,緩解13例,差別有統(tǒng)計(jì)學(xué)意義(P=0)。7.胰腺假性囊腫胰管含有胰石者7例,緩解0例,胰管無(wú)胰石者35例,緩解8例,差別無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。8.胰腺假性囊腫胰管擴(kuò)張者9例,緩解0例,胰管無(wú)擴(kuò)張者33例,緩解8例,差別無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.超聲內(nèi)鏡能清晰顯示胰腺假性囊腫的許多特征,因此對(duì)評(píng)估臨床預(yù)后有重要的及獨(dú)特價(jià)值。2.胰腺假性囊腫的預(yù)后與多種因素相關(guān),并發(fā)于急性胰腺炎的假性囊腫、假性囊腫內(nèi)無(wú)分隔、假性囊腫內(nèi)無(wú)固體內(nèi)容物者更容易自然緩解。3.并發(fā)于慢性胰腺炎的假性囊腫、胰管存在擴(kuò)張、胰管存在胰石、假性囊腫內(nèi)有分隔、假性囊腫內(nèi)有固體內(nèi)容物者,自然緩解率較低,建議有癥狀時(shí)及時(shí)手術(shù)或內(nèi)鏡干預(yù)處理。
[Abstract]:Objective to evaluate the prognostic value of endoscopic ultrasonography in pancreatic pseudocyst and its prognostic factors. Methods from January 2014 to October 2016, 42 patients (48 pseudocysts) who received conservative treatment in the first affiliated Hospital of Guangxi Medical University were retrospectively analyzed. Six patients with multiple pseudocysts were divided into 12 pseudocysts. The clinical data of pancreatic pseudocysts, the results of endoscopic ultrasonography and the prognosis of pseudocysts were followed up. According to the results of follow-up, the patients were divided into the cured group and the uncured group. The clinical data and endoscopic results of pseudocyst were statistically analyzed. The result is 1: 1. There were 33 cases of pancreatic pseudocyst less than or equal to 6cm, 10 cases of remission, 15 cases of greater than 6cm, and 3 cases of remission. There were 22 cases of pseudocyst complicated with acute pancreas, 8 cases of remission, 20 cases of pseudocyst complicated with chronic pancreatitis, and 0 cases of remission. The difference was statistically significant. There were 27 cases of pancreatic pseudocyst, 6 cases of remission, 15 cases of pseudocyst and 2 cases of remission. There were 10 cases of pancreatic pseudocyst located in the head of pancreas, 3 cases of remission, 38 cases of body and tail, and 10 cases of remission. There were 11 cases of pancreatic pseudocyst, 0 cases of remission, 37 cases of no septum and 13 cases of remission. The difference was statistically significant (P < 0. 023. 6). There were 20 cases of solid content in pancreatic pseudocyst, 0 case of remission, 28 cases of no solid content and 13 cases of remission. The difference was statistically significant. Pancreatic pseudocyst contained pancreatic stone in 7 cases, remission in 0 cases, pancreatic duct without pancreatic stone in 35 cases, remission in 8 cases. There were 9 cases of pancreatic duct dilatation, 0 cases of remission, 33 cases of no dilatation of pancreatic duct and 8 cases of remission of pancreatic pseudocyst. The difference was not statistically significant (P 0.05). Conclusion 1. Ultrasound endoscopy can clearly display many characteristics of pancreatic pseudocyst, so it has important and unique value in evaluating clinical prognosis. The prognosis of pancreatic pseudocyst is related to many factors. Pseudocyst complicated with chronic pancreatitis, pancreatic duct dilatation, pancreatic stone, pseudocyst, solid content in pseudocyst, natural remission rate is low.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R576

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本文編號(hào)：1779957