| 胆胰液分流预防胰十二指肠切除术后胰瘘的价值 |
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| 引用本文： | 曾庆东,吕丽红,李占元. 胆胰液分流预防胰十二指肠切除术后胰瘘的价值[J]. 中国现代普通外科进展, 2002, 5(4): 242-243 |
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| 作者姓名： | 曾庆东 吕丽红 李占元 |
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| 作者单位： | 1. 山东大学齐鲁医院普外科,山东,济南,250012
2. 山东大学医学院手术学教研室,山东,济南,250012 |
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| 摘 要： | 目的：探讨胆胰液分流预防胰十二指肠切除术后胰瘘的价值。方法；对91例胰十二指肠切除术患胰、胆、胃消化直重建时分别采用改良Roux-en—Y吻合术、总胆管放置T型引流管和胰管内放置引流管3种胆胰液分流术治疗，同时用未行胆胰液分流术45例作对照。结果：胰十二指肠切除术后行胆胰液分流术91例的胰瘘发生率为2．2％(2／91)，未行胆胰液分流术45例的胰瘘发生率为15．5％(7／45)（P＝0.00065)。应用改Roux－en—Y吻合术6例，胰管内放置引流管26例，无1例出现胰瘘；总胆管放置T型引流管59例，2例出现胰瘘。结论：胆胰液分流是预防胰十二指肠切除术后胰瘘发生的重要环节。
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| 关 键 词： | 胰头十二指肠切除术 胆胰液分流术 胰腺瘘 预防 术后 并发症 |
| 文章编号： | 1009-9905(2002)04-0242-02 |
| 修稿时间： | 2002-07-12 |
The value of bilipancreatic shunt to prevent pancreatic fistula after pancreatoduodenectomy |
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| Abstract: | Objective:To explore the value of bilipancreatic shunt to prevent pancreatic fistula after pancreatoduodenectomy.Methods:The authers applied three kinds of bilipancreatic shunt:modified Roux en Y type anastomosis,T type drainage tube in common bile duct,drainage tube in pancreatic duct.Result of treatment was contrasted with non bilipancreatic shunt.Results:The incidence of pancreatic fistuta was 2.2% in this group with bilipancreatic shunt,and the contrast group 15.5%(P=0.00065).Modified Roux en Y anastomosis was used in 6 patients,drainage tube in pancreatic duct in 26 patients,no pancreatic fistula happened;T type drainage tube in common bile duct in 59 patients,2 pancreatic fistula happened.Conclusion:Bilipancreatic shunt is an important method to prevent pancreatic fistula after pancreatoduodenectomy. |
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| Keywords: | Pancreatoduodenectomy Bilipancreatic Shunt Pancreatic fistula |
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