捆绑式胰肠吻合术捆绑前后吻合口耐受压的测定及其意义  

The measurement of pre-binding and post-binding tolerance pressure in binding pancreaticojejunostomy

作　　者：牟一平[1] 徐晓武[1] 郑行[1] 朱玲华[1] 彭淑牖[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院普外科,杭州310016

出　　处：《中华医学杂志》2004年第11期904-906,共3页National Medical Journal of China

摘　　要：目的　从吻合口耐受压评价捆绑式胰肠吻合术的优越性 ,并探讨捆绑的适宜松紧度。方法　利用连通器原理将输液器改成测压装置 ,对 2 4例行捆绑式胰肠吻合术的患者 ,测定其捆绑前后的吻合口耐受压。结果　捆绑前吻合口耐受压为 2 8～ 6 5cmH2 O( 1cmH2 O =0 0 98kPa) ,平均为 4 4cmH2 O。捆绑后吻合口耐受压均在 75cmH2 O以上 ,平均 85cmH2 O ,其中 13例大于 90cmH2 O ,与捆绑前相比显著增加 ,差异有显著意义 (P <0 0 1)。结论　捆绑可以显著提高胰肠吻合口的耐受压 。Objective To evaluate the superiority of binding pancreaticojejunostomy (BPJ) and the appropriate degree of tightness of binding from the view of tolerance pressure of the anastomotic stoma.Methods The clinical data of 24 patients with diseases of head of pancreas and duodenum who underwent binding pancreaticojejunostomy were analyzed. The tolerance pressure at the anastomotic stoma was measured before and after the binding.Results The pre binding tolerance pressure at the anastomotic stoma ranged from 28 cm H 2O to 65 cm H 2O, with a median of 44 cm H 2O. The post binding tolerance pressure at the anastomotic stoma ranged from 75 cm H 2O to 90 cm H 2O, with a mean of 85 cm H 2O, significantly higher than those before binding ( P <0.01).Conclusion Binding greatly increases the tolerance pressure at the anastomotic stoma. The tolerance pressure adopted is appropriate.

关 键 词：捆绑式胰肠吻合术 吻合口 耐受压 胰头十二指肠切除术 

分 类 号：R656[医药卫生—外科学]