手术后胰瘘的处理:附20例分析

目的　探讨手术后胰瘘的处理方法。方法　回顾性总结 2 0例胰瘘的治疗方法 ,其中 15例行非手术治疗 ,5例行手术治疗。结果　非手术治疗和手术治疗者全部治愈 ,效果满意。结论　大部分胰瘘可通过非手术治疗而愈。但当出现胰瘘管和主胰管相通或 5个月非手术治疗未愈的情况时 ,应改行手术治疗 ,胰瘘管空肠吻合是简单安全有较的方法

Management of postoperative pancreatic fistula:a review of 20 cases

Objective To study the treatment of postoperative pancreatic fistula. Methods The study (retrospectively) reviewed the management of 20 patients with pancreatic fistula. Fifteen patients were treated (conservatively), and 5 patients were treated surgically. Results All of the patients treated conservatively or by (surgery) were cured,and the results were satisfactory. Conclusions The majority of pancreatic fistulas can be cured with conservative management. If the fistula communicates with the main pancreatic duct or fails to heal after 5 months of conservative therapy, operation is necessary.Pancreatic fistulojejunostomy is a simple, safe and effective method.