中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
20期
38-40
,共3页
胰十二指肠切除术%治疗结果%胰肠吻合术
胰十二指腸切除術%治療結果%胰腸吻閤術
이십이지장절제술%치료결과%이장문합술
Pancreaticoduodenectomy%Treatment outcome%Pancreaticojejunostomy
目的 比较胰十二指肠切除术中不同胰肠吻合方法的临床疗效.方法 回顾性对比分析92例行胰十二指肠切除术患者的临床资料,根据术中胰肠吻合方法分为捆绑式胰肠吻合组(A组,48例)和胰管对肠黏膜吻合组(B组,44例).结果 两组患者手术时间、术中出血量、术后住院时间和总并发症发生率比较差异无统计学意义(P＞0.05)；A组肛门排气时间长于B组[(101.73±6.47) min比(98.73±6.87) min],胰瘘发生率低于B组[6.2％ (3/48)比20.5％(9/44)],消化障碍发生率高于B组[18.8％(9/48)比4.5％(2/44)],差异均有统计学意义(P＜0.05).结论 两种胰肠吻合方法均能取得良好的临床疗效,捆绑式胰肠吻合可有效减少术后胰瘘的发生,胰管对肠黏膜吻合能有效减少消化障碍的发生,应根据术中情况选择最佳的吻合方式.
目的 比較胰十二指腸切除術中不同胰腸吻閤方法的臨床療效.方法 迴顧性對比分析92例行胰十二指腸切除術患者的臨床資料,根據術中胰腸吻閤方法分為捆綁式胰腸吻閤組(A組,48例)和胰管對腸黏膜吻閤組(B組,44例).結果 兩組患者手術時間、術中齣血量、術後住院時間和總併髮癥髮生率比較差異無統計學意義(P＞0.05)；A組肛門排氣時間長于B組[(101.73±6.47) min比(98.73±6.87) min],胰瘺髮生率低于B組[6.2％ (3/48)比20.5％(9/44)],消化障礙髮生率高于B組[18.8％(9/48)比4.5％(2/44)],差異均有統計學意義(P＜0.05).結論 兩種胰腸吻閤方法均能取得良好的臨床療效,捆綁式胰腸吻閤可有效減少術後胰瘺的髮生,胰管對腸黏膜吻閤能有效減少消化障礙的髮生,應根據術中情況選擇最佳的吻閤方式.
목적 비교이십이지장절제술중불동이장문합방법적림상료효.방법 회고성대비분석92례행이십이지장절제술환자적림상자료,근거술중이장문합방법분위곤방식이장문합조(A조,48례)화이관대장점막문합조(B조,44례).결과 량조환자수술시간、술중출혈량、술후주원시간화총병발증발생솔비교차이무통계학의의(P＞0.05)；A조항문배기시간장우B조[(101.73±6.47) min비(98.73±6.87) min],이루발생솔저우B조[6.2％ (3/48)비20.5％(9/44)],소화장애발생솔고우B조[18.8％(9/48)비4.5％(2/44)],차이균유통계학의의(P＜0.05).결론 량충이장문합방법균능취득량호적림상료효,곤방식이장문합가유효감소술후이루적발생,이관대장점막문합능유효감소소화장애적발생,응근거술중정황선택최가적문합방식.
Objective To compare the clinical effect of different pancreaticojejunostomy in pancreaticoduodenectomy.Methods The data of 92 pancreaticoduodenectomy patients were retrospectively comparative analysis,the patients with bundled pancreaticojejunostomy was enrolled in group A (48 cases) and the patients with pancreatic duct on intestinal mucosa anastomosis was enrolled in group B (44 cases).Results The results between the two groups in the operative time,blood loss,postoperative hospital stay and overall complication rate showed no significant difference (P ＞ 0.05).The anal exhaust time in group A was longer than that in group B [(101.73 ±6.47) min vs.(98.73 ±6.87) min],the rate of pancreatic juice leakage in group A was lower than that in group B [6.2％(3/48) vs.20.5％ (9/44)],but the rate of gastricism in group A was higher than that in group B [18.8％ (9/48) vs.4.5％ (2/44)],there were significant difference between the two groups (P ＜ 0.05).Conclusions The two pancreaticojejunostomy methods can achieve good clinical efficacy.Bundled pancreaticojejunostomy can be effective in reducing the occurrence of simple pancreatic juice leakage.Pancreatic duct on intestinal mucosa anastomosis can effectively reduce the occurrence of gastricism,should base on intraoperative decision to choose the best fit manner.
