假性动脉瘤并发胰腺炎的诊断与治疗

中华消化内镜杂志 Pub Date : 2019-10-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.10.007

Jinlong Hu, N. Ge, Sheng Wang, Jintao Guo, Xiang Liu, Guoxin Wang

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引用次数: 0

摘要

目的探讨胰腺假性动脉瘤并发胰腺炎的诊断、治疗和方法。方法回顾性分析2006年1月至2014年12月盛京医院11例胰腺假性动脉瘤合并胰腺炎的诊断方法、治疗方法及临床疗效。结果对2例胰腺假性动脉瘤进行超声内镜诊断。8例诊断为对比增强计算机断层扫描。1例经血管造影诊断。10例患者行血管内栓塞治疗，其中9例治疗成功。1例患者在栓塞28天后再次出血，经多次栓塞治疗成功。一名患者通过手术成功治疗。结论增强ct和血管造影是目前诊断胰腺假性动脉瘤的主要方法。随着EUS在胰腺疾病诊断中的广泛应用，EUS成为胰腺假性动脉瘤诊断的一种选择。传统上，胰腺假性动脉瘤是通过手术治疗的。随着血管内技术的进步，血管内治疗已成为一线治疗手段。胰腺假性动脉瘤的诊断方法和治疗方法有待进一步的大样本量研究。关键词:胰腺炎;假动脉瘤;胃肠出血;Endosonography;栓塞,治疗

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Diagnosis and treatment of pseudoaneurysm complicated with pancreatitis

Objective To analyze the diagnosis treatment and methods for pancreatic pseudoaneurysms complicated with pancreatitis. Methods The diagnostic methods, treatments and clinical effects of 11 patients with pancreatic pseudoaneurysms complicated with pancreatitis from January 2006 to December 2014 were retrospectively analyzed in Shengjing hospital. Results Two cases of pancreatic pseudoaneurysms were diagnosed by endoscopic ultrasonography(EUS). Eight cases were diagnosed with contrast-enhanced computed tomography. One case was diagnosed by angiography. Ten patients received endovascular embolization, and nine of them were successfully treated. Rebleeding occurred in one patient 28 days after embolization, and was successfully treated by repeated embolization. One patient was successfully treated by surgery. Conclusion Contrast-enhanced computed tomography and angiography are the current main methods to diagnose pancreatic pseudoaneurysms. With the wide use of EUS in the diagnosis of pancreatic disease, EUS becomes an option for diagnosis of pancreatic pseudoaneurysm. Traditionally, pancreatic pseudoaneurysm is treated by surgery. With the advancement of endovascular techniques, endovascular treatment has become the first-line treatment. Further studies with a large sample size are needed to establish the better diagnostic methods and treatments for pancreatic pseudoaneurysm. Key words: Pancreatitis; Aneurysm, false; Gastrointestinal hemorrhage; Endosonography; Embolization, therapeutic

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.