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題 名 | Pancreatic Pseudocysts in Children=兒童胰臟假性囊腫 |
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作 者 | 刁茂盟; 莊錦豪; 高常發; 謝志松; 黃嵩雀; 梁啟迪; 郭馨蔚; | 書刊名 | 長庚醫學 |
卷 期 | 23:12 2000.12[民89.12] |
頁 次 | 頁761-767 |
分類號 | 417.546 |
關鍵詞 | 撞傷; 胰臟假性囊腫; Trauma; Pancreatic pseudocyst; |
語 文 | 英文(English) |
中文摘要 | 背景: 兒童胰臟假性囊腫非常少見,本篇研究是想瞭解臨床及影像學(特別是超音波)及預後情形。 方法: 從1996年1月至2000年5月本院有12位兒童發生此病,包括8男4女,從3歲至18歲。 結果: 12位兒童均有撞到腹部的病史,而囊腫的大小從0.6分公至16公分不等,發現在撞到後之第3天至第57天,6個兒童接受手術治療,3個接受體外引流,2個接受囊腫胃造口,1個接受胰臟部份切除;統計上最初的血清澱粉脢高低和恢復正常時間無關(r=0.354, p=0.268),和囊腫被偵測到時間無關(r=0.029, p=0,933),亦和囊腫恢復時間無關(r=0.322,p=0.309),超音波追?下囊腫消失時間從11天到10個月不等,而且囊腫大小和測到時間無關(r=0.284,p=0.371)亦和消失時間無關(r=-0.175,p=0.586)。 結論: 所以我們認為超音波對於胰臟假性囊腫一系列的追?非常重要,至少要追?57天,因為胰臟假性囊腫仍可能出現在撞到後的第57天。最初的血清澱粉脢高低無法預測胰臟假性囊腫在撞到後出現的時間。 |
英文摘要 | Background. Pancreatic pseudocysts in children are uncommon. The purpose of this study was to investigate the clinical course, image findings (with emphasis on sonograms), and outcome of 12 patients with pancreatic pseudocysts. Methods. Form January 1986 to May 2000, 12 patients with a diagnosis of pancreatic pseudocysts were encountered in our hospital. There were 8 males and 4 females with ages ranging from 3 to 18 years. Results. The etiology was blunt abdominal trauma in all 12 cases. The cysts were detected from 3 to 57 days after injury, and the sizes ranged from 0.6 to 16 cm. Six patients received surgical treatment. External drainage was performed in 3 cases, subtotal pancreatectomy in 1, cystogastrostomy in 2. Initial serum amylase level correlated with neither the time to normalization (r=0.354, p=0.268), cystic appearance after trauma (r=0.029, p=0,933), nor resolution (r=0.322,p=0.309). Sonographic follow-up revealed that the disappearance of cysts was noted from 11 days to 10 months following injury. The size of the pseudocysts correlated with neither the time of detection (r=0.284,p=0.371) nor disappearance (r=-0.175,p=0.586). Conclusion. Serial sonogram examinations play an important role in monitoring the progress of pancreatic pseudocysts, which may develop even 57 days after injury. The size of pseudocysts correlated with neither the times of detection nor disappearance, and the initial serum amylase level correlated with neither the time to normalization nor cystic appearance after trauma. |
本系統中英文摘要資訊取自各篇刊載內容。