中华胰腺病杂志
中華胰腺病雜誌
중화이선병잡지
CHINESE JOURNAL OF PANCREATOLOGY
2011年
1期
11-13
,共3页
吴青松%凌亚非%赵家锋%王建南%黄从云%张小龙%朱剑华
吳青鬆%凌亞非%趙傢鋒%王建南%黃從雲%張小龍%硃劍華
오청송%릉아비%조가봉%왕건남%황종운%장소룡%주검화
胰十二指肠切除术%胰管空肠吻合术%胰腺瘘
胰十二指腸切除術%胰管空腸吻閤術%胰腺瘺
이십이지장절제술%이관공장문합술%이선루
Pancreaticoduodenectomy%Pancreaticojejunostomy%Pancreatic fistula
目的 总结Ⅰ型和Ⅱ型捆绑式胰肠吻合术在胰十二指肠切除术中的应用效果及经验.方法 回顾性分析2005年1月至2009年12月行捆绑式胰肠吻合术的38例患者临床资料,其中行Ⅰ型捆绑式胰肠吻合术20例,行Ⅱ型捆绑式胰肠吻合术18例.比较Ⅰ、Ⅱ型术式的手术时间及术后患者住院天数、早期病死率、并发症发生率.结果 Ⅰ型捆绑式胰肠吻合术的手术时间为(91±20)min,Ⅱ型术式为(63±21)min,两者相差显著(P＜0.05).Ⅰ型术式的早期病死率、并发症发生率及术后患者住院天数分别为10.0%(2/20)、45.0%(9/20)和(20±2)d,Ⅱ型术式分别为5.6%(1/18)、38.9%(7/18)和(23±2)d,两种术式间无显著差异.Ⅰ型术式发生胰瘘2例(10.0%),Ⅱ型术式发生1例(5.5%),两者间亦无显著差异.结论 Ⅰ型和Ⅱ型捆绑式胰肠吻合术的手术效果无差别,有区别地选择Ⅰ型和Ⅱ型术式有利于捆绑式胰肠吻合的顺利实施.
目的 總結Ⅰ型和Ⅱ型捆綁式胰腸吻閤術在胰十二指腸切除術中的應用效果及經驗.方法 迴顧性分析2005年1月至2009年12月行捆綁式胰腸吻閤術的38例患者臨床資料,其中行Ⅰ型捆綁式胰腸吻閤術20例,行Ⅱ型捆綁式胰腸吻閤術18例.比較Ⅰ、Ⅱ型術式的手術時間及術後患者住院天數、早期病死率、併髮癥髮生率.結果 Ⅰ型捆綁式胰腸吻閤術的手術時間為(91±20)min,Ⅱ型術式為(63±21)min,兩者相差顯著(P＜0.05).Ⅰ型術式的早期病死率、併髮癥髮生率及術後患者住院天數分彆為10.0%(2/20)、45.0%(9/20)和(20±2)d,Ⅱ型術式分彆為5.6%(1/18)、38.9%(7/18)和(23±2)d,兩種術式間無顯著差異.Ⅰ型術式髮生胰瘺2例(10.0%),Ⅱ型術式髮生1例(5.5%),兩者間亦無顯著差異.結論 Ⅰ型和Ⅱ型捆綁式胰腸吻閤術的手術效果無差彆,有區彆地選擇Ⅰ型和Ⅱ型術式有利于捆綁式胰腸吻閤的順利實施.
목적 총결Ⅰ형화Ⅱ형곤방식이장문합술재이십이지장절제술중적응용효과급경험.방법 회고성분석2005년1월지2009년12월행곤방식이장문합술적38례환자림상자료,기중행Ⅰ형곤방식이장문합술20례,행Ⅱ형곤방식이장문합술18례.비교Ⅰ、Ⅱ형술식적수술시간급술후환자주원천수、조기병사솔、병발증발생솔.결과 Ⅰ형곤방식이장문합술적수술시간위(91±20)min,Ⅱ형술식위(63±21)min,량자상차현저(P＜0.05).Ⅰ형술식적조기병사솔、병발증발생솔급술후환자주원천수분별위10.0%(2/20)、45.0%(9/20)화(20±2)d,Ⅱ형술식분별위5.6%(1/18)、38.9%(7/18)화(23±2)d,량충술식간무현저차이.Ⅰ형술식발생이루2례(10.0%),Ⅱ형술식발생1례(5.5%),량자간역무현저차이.결론 Ⅰ형화Ⅱ형곤방식이장문합술적수술효과무차별,유구별지선택Ⅰ형화Ⅱ형술식유리우곤방식이장문합적순리실시.
Objective To analyze and summarize the efficacy and the experience in the application of type Ⅰ and type Ⅱ bundled pancreaticojejunostomy in pancreaticoduodenectomy. Methods Between Jan.2005 and Dec. 2009, a total of 38 patients who underwent bundled pancreaticojejunostomy was enrolled, and their clinical data were retrospectively analyzed. 20 patients received type Ⅰ bundled pancreaticojejunostomy and 18 patients received type Ⅱ bundled pancreaticojejunostomy. The operative time, postoperative hospital stay, mortality and complications were compared. Results The operative time of type Ⅰ bundled pancreaticojejunostomy was (91 ± 20) min, and it was (63 ± 21) min in type Ⅱ procedure, and the difference was statistically significant (P ＜ 0. 05). The mortality and complications, postoperative hospital stay were 10.0%(2/20), 45.0% (9/20) and (20 ±2)d in type Ⅰ procedure, while they were 5.6% (1/18),38.9% (7/18) and(23 ±2)d in type Ⅱ procedure, and the difference was not statistically significant.Conclusions There was no significant difference in the effects between type Ⅰ and type Ⅱ bundled pancreaticojejunostomy. Carefully selective application of type Ⅰ and type Ⅱ bundled pancreaticojejunostomy helps complete these procedures.
