闭合性十二指肠损伤的诊断与治疗

目的探讨闭合性十二指肠损伤的诊治方法。方法对1995～2005年间收治的23例闭合性十二指肠损伤患者临床资料进行回顾性总结分析。结果术前诊断率为13%。术式:单纯十二指肠修补13例,十二指肠空肠Roux-en-y吻合术6例,十二指肠憩窒化3例,胰十二指肠切除术1例。死亡率为13%。结论仔细的物理检查及综合分析是术前诊断的主要手段,选择合理术式是治疗十二指肠损伤的关键。

The diagnosis and treatment of close duodenum trauma

Objective To explore the diagnose and treatment about close duodenum trauma.Methods Clinic data about 23 cases of close duodenum trauma from 1995 to 2004 was reviewed.Results diagnose rate of pre-operation was 13%.operation mode was choosed:13 cases were operated by simple mend of duodenum,6 case by duodenum-jejunum Roux-en-y anastomosing operation,3 cases by duodenal diverticularizing,1 case by pancreas-duodenum excision.The death rate was 13%.Conclusion Careful physical inspect and integrating analysis are the main instrumentality at the diagnose of pre-operation,suitable operating choose is the key to cure the duodenal trauma.