两种不同胰十二指肠切除术残胰重建方式的比较  

Comparision of two different reconstruction of residual pancreas after PD

作　　者：李蕊[1] 米曰堂[1] 邵峰[1] 王云霞[1] 

机构地区：[1]山东省聊城市人民医院普外科,山东聊城252000

出　　处：《中国医学工程》2005年第6期626-627,630,共3页China Medical Engineering

摘　　要：目的探讨预防胰十二指肠切除术(pancreaticoduodenectomy,PD)术后胰漏的合理胰腺残端处理方式。方法回顾性分析该院10年间行PD治疗的壶腹周围癌肿患者的临床资料。观察围手术期的情况和术后胰漏及由此引发的腹腔感染的发生率。结果两组病人间围手术期情况的差异无统计学意义,胰管空肠端侧吻合组与胰腺空肠端端吻合组术后胰漏发生率分别为3.9%和12.6%(P=0.044)。腹腔感染发生率分别为1.3%和9.7%(P=0.026),相关死亡率为0和5.8%。结论胰管空肠端侧吻合重建确实可靠,能够有效地降低PD后胰漏的发生。[Objective] To explore ideal technique of pancreaticojejunostomy in preventing pancreatic fistula after pancreaticoduodenectomy（PD）. [Methods] The data of patients of pancreatic and periampullary carcinoma that received PD were retrospectively analyzed in our hospital. End-to-side duct-to-mucosa pancreaticojejunostomy （Group A） and end-to-end pancreaticojejunostomy（Group B） were performed randomly. [Results] The perioperation status was not significantly different between the 2 groups. The morbidity of pancreatic fistula was 3.9% and 12.6%, that of severe sepsis was 1.3% and 9.7%, and the associated mortality was 0 and 5.8% between Group A and Group B respectively. [Conclusion] Duct-to-mucosa pancreaticojejunostomy was safe and strict, and effectively declined incidence of pancreatic fistula.

关 键 词：胰十二指肠切除术 胰肠吻合术 胰瘘 

分 类 号：R656.6[医药卫生—外科学]