| 胰十二指肠切除术不同胰肠吻合方式胰漏分析 |
| |
| 引用本文： | 丁会民,QIN Xi-hu,朱峰,周新军.胰十二指肠切除术不同胰肠吻合方式胰漏分析[J].中华普通外科学文献（电子版）,2008,2(3):24-27. |
| |
| 作者姓名： | 丁会民 QIN Xi-hu 朱峰 周新军 |
| |
| 作者单位： | 1. 常州市第一人民医院肝胆外科,苏州大学附属三院,213000
2. Department of Live and Gall Surgery,the Third Affiliated Hospital of Soochow University,Changzhou 213000,China |
| |
| 摘 要： | 目的探讨胰十二指肠切除术（PD）不同胰肠吻合方式对胰漏发生的影响。方法回顾2002年2月至2007年5月154例行胰十二指肠切除术病例，分别采取胰肠套埋单层吻合105例，双层吻合49例，分析与胰漏相关危险因素及两组间胰漏差异原因。结果胰漏发生率8．4％（13／154），Logistic回归多变量分析表明：男性、胰腺质地软、非单层胰肠吻合方式是3个与胰瘘相关的独立变量；两种吻合方式间胰漏（单层吻合，4．8％vs双层吻合，16．4％）、术后并发症（单层吻合，18．1％vs双层吻合，32．7％）、术后平均住院时间弹层吻合，18．45±7．11天vs双层吻合，22．75±9．73天）、质软胰腺中胰漏停嘱吻合，6％vs双层吻合，27．6％洧统计学差异。结论胰肠套埋单层吻合，特别是在质软胰腺中应用可明显减少胰漏发生率。
|
| 关 键 词： | 胰十二指肠切除术 胰漏 吻合方式 |
Incidence of pancreatic anastomotic lekage in two different methods of pancreaticoduodenectomy |
| |
| DIN Hui-min,QIN Xi-hu,ZHU Feng,ZHOU Xin-jun.Incidence of pancreatic anastomotic lekage in two different methods of pancreaticoduodenectomy[J].Chinese Journal of General Surgery(Electronic Version),2008,2(3):24-27. |
| |
| Authors: | DIN Hui-min QIN Xi-hu ZHU Feng ZHOU Xin-jun |
| |
| Institution: | . (Department of Live and Gall Surgery, the Third Affdiated Hospital of Soochow University, Changzhou 213000, China) |
| |
| Abstract: | Objective To analyze the possible difference in the incidence of pancreatic leakage relative to two methods of pancreaticoduodenectomy(PD). Methods A retrospective review of 154 consecutive patients who underwent PD between Feb 2002 and May 2007 was carried out. 105 cases were used a single-deck invaginated pancreaticojejunostomy, 49 cases were double-deck invaginated.Risk factors associated with leakage were determined for all 154 cases and then outcomes for each group were compared. Results Leakage was ob... |
| |
| Keywords: | Pancreaticoduodenectomy Pancreatic lekage Anastomotic methods |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
