胃大部切除十二指肠残端处理方式的选择  

Choices on management of duodenal stump after gastrectomy

作　　者：周卓龙[1] 周树勤[2] 彭青[3] 杨为民 

机构地区：[1]广东省揭阳市惠来县人民医院外科,广东揭阳515200 [2]广东省汕头大学医学院附属肿瘤医院麻醉科,广东汕头515041 [3]广东省汕头大学医学院药理教研室,广东汕头515041 [4]广东省汕头市龙湖区人民医院外科,广东汕头515041

出　　处：《中国现代医学杂志》2005年第16期2536-2537,2539,共3页China Journal of Modern Medicine

摘　　要：目的合理选择十二指肠残端的处理方式,降低十二指肠残端破裂的发生率。方法回顾性总结我院1852例毕II式胃大部切除术中十二指肠残端的处理资料。结果发生十二指肠残端破裂9例,发生率为0.5%,无手术死亡。结论行毕II式胃大部切除术时,十二指肠残端的处理应持审慎态度,术中应仔细探查确认病灶切除后无张力封闭,否则应根据具体情况选择各种旷置术处理残端。[Objective] To choose proper management of duodenal stump and reduce the rupture of duodenal stump. [Methods] The management of duodenal stump in 1852 cases of Billroth II partial gastrectomy were analysed retrospectively. [Results] There are 9 cases of duodenum stump rupture but no death occurred. The incidence of rupture of duodenum stump was 0.5%. [Conclusion] It is necessary to be sure that no tensility closure after the lesions removal ,otherwise different ways of surgery should be choosed to be performed on duodenal stump according to different conditions.

关 键 词：胃大部切除术 十二指肠残端 处理方式 

分 类 号：R656.62[医药卫生—外科学]