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胃癌根治术后并发胰周积液的处理
引用本文:花嵘,李玺,李宁,花明学,巩新建. 胃癌根治术后并发胰周积液的处理[J]. 腹部外科, 2005, 18(4): 224-225
作者姓名:花嵘  李玺  李宁  花明学  巩新建
作者单位:221004,江苏省徐州市解放军第97医院普外科;南京军区南京总医院全军普外研究所;陕西省铜川矿务局中心医院普外科
摘    要:目的探讨胃癌根治术后胰周积液的治疗方法。方法对我们1993年~2004年收治的胃癌根治术后胰周积液10例进行回顾性分析。结果保守治疗治愈1例,B型超声引导下经皮多次穿刺治愈4例,手术行外引流治愈3例、内引流治愈2例。结论对于胃癌根治术后胰周积液早期应采取保守治疗、穿刺抽液或外引流,内引流可作为治疗的最后选择。

关 键 词:胃肿瘤  手术后并发症  引流
修稿时间:2005-01-10

Diagnosis and management of peripancreatic fluid collections after radical gastrectomy
HUA Rong,LI Xi,LI Ning,et al.. Diagnosis and management of peripancreatic fluid collections after radical gastrectomy[J]. Journal of Abdominal Surgery, 2005, 18(4): 224-225
Authors:HUA Rong  LI Xi  LI Ning  et al.
Affiliation:HUA Rong,LI Xi,LI Ning,et al.Department of General Surgery,The 97th Hospital of PLA,Xuzhou,221004,China
Abstract:ObjectiveTo explore the treatment of peripancreatic fluid collections after radical gastrectomy.MethodsTen cases of peripancreatic fluid collections following gastrectomy were retrospectively analyzed from 1993 to 2004.ResultsOne patient was cured conservatively.Four cases were cured through percutaneous puncture guided by B ultrasound.Three cases were cured through surgical external drainage,and 2 cases were cured through internal drainage.ConclusionConservative management,percutaneous puncture drainage and external drainage were main methods in the early period,and internal drainage was the last option.
Keywords:Stomach neoplasms  Postoperative complications  Drainage
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