胰十二指肠切除术中输血与未输血者356例比较分析
이십이지장절제술중수혈여미수혈자356례비교분석
The impact of blood transfusion on postoperative short-term results of pancreaticoduodenectomy: a comparative study on 356 patients
  • 万方数据
    中华肝胆外科杂志 중화간담외과잡지
    CHINESE JOURNAL OF HEPATOBILIARY SURGERY
    2012年 12期 901-904 ,共4页

    徐俊超%孙备%李军%谭洪涛%白雪巍%陈华%王刚%孔瑞%李泮泉%武林枫%刘杰%吴祥松%姜洪池

    서준초%손비%리군%담홍도%백설외%진화%왕강%공서%리반천%무림풍%류걸%오상송%강홍지

    胰十二指肠切除术%输血 胰十二指腸切除術%輸血
    이십이지장절제술%수혈
    Pancreaticoduodenectomy%Blood transfusion
    目的 探讨输血与未输血行胰十二指肠切除术后并发症等有无差异.方法 回顾性分析2005年1月至2011年12月行胰十二指肠切除术的356例资料,其中输血组242例,未输血组114例.结果 输血组与未输血组的胰瘘发生率、肺感染发生率、平均手术时间、术中失血量、术后平均住院时间分别为17.8％、16.5％、6.4h、920 ml、29.1d与8.8％、6.1％、5.4h、150 ml、25.9d,两组差异有统计学意义(P＜0.05),而在胆瘘、出血、胃排空延迟、手术死亡率方面差异无统计学意义.结论 (1)未输血组具有显著降低的胰瘘发生率、肺感染发生率、平均手术时间、术中失血量及术后平均住院时间.(2)引进先进的手术设备、精准操作、成立胰腺诊治中心或专业组,有利于减少术中失血量,降低术后相关并发症的发生.
    목적 탐토수혈여미수혈행이십이지장절제술후병발증등유무차이.방법 회고성분석2005년1월지2011년12월행이십이지장절제술적356례자료,기중수혈조242례,미수혈조114례.결과 수혈조여미수혈조적이루발생솔、폐감염발생솔、평균수술시간、술중실혈량、술후평균주원시간분별위17.8％、16.5％、6.4h、920 ml、29.1d여8.8％、6.1％、5.4h、150 ml、25.9d,량조차이유통계학의의(P＜0.05),이재담루、출혈、위배공연지、수술사망솔방면차이무통계학의의.결론 (1)미수혈조구유현저강저적이루발생솔、폐감염발생솔、평균수술시간、술중실혈량급술후평균주원시간.(2)인진선진적수술설비、정준조작、성립이선진치중심혹전업조,유리우감소술중실혈량,강저술후상관병발증적발생.
    Objective To study the impact of blood transfusion on postoperative complications of pancreaticoduodenectomy.Methods The medical data of 356 patients who underwent pancreaticoduodenectomy from January 2005 to December 2011 were retrospectively analyzed.242 patients in the transfusion group received blood transfusion while the remaining patients in the non transfusion group received no blood transfusion.Results The rates of pancreatic fistula and pulmonary infection,mean operative time,intraoperative blood loss,and hospital stay were 17.8％,16.5％,6.4 h,920.0 ml and 29.1 d in the transfusion group compared with 8.8％,6.1％,5.4 h,150.0 ml and 25.9 d in the non-transfusion group,respectively (P＜0.05).However,there were no significant differences between the two groups in the rates of biliary fistula,gastrointestinal and intraabdominal bleeding,delayed gastric emptying and death.Conclusions Patients undergoing pancreaticoduodenectomy in the non-transfusion group had significantly lower rates of pancreatic fistula and pulmonary infection,shorter operative time and hospital stay,and less intraoperative blood loss.This study suggested that a reduction in intraoperative blood loss by advanced instruments and techniques,with operations carried out by experienced pancreatic surgeons in specialized pancreatic center,could result in a significantly lower postoperative complication rate.
    원문보기 원문다운로드 사이트로이동
저자의 최근 논문