十二指肠损伤25例临床分析  

Analysis of Duodenal Injury

作　　者：徐财文 杨云江[1] 

机构地区：[1]广东省东莞市长安医院外一科,广东东莞523843

出　　处：《河北医学》2006年第5期420-422,共3页Hebei Medicine

摘　　要：目的:探讨十二指肠损伤的诊断和外科治疗方法。方法:回顾性分析25例十二指肠损伤患者的临床资料和5例Cogbill改良憩室化手术再简化的手术治疗。结果:25例患者仅5例术前明确诊断,术中确诊15例,术中漏诊、术后诊断5例,误诊率20%,死亡4例,治愈21例,治愈率84%。十二指肠损伤的早期诊断和早期及时手术是非常重要的。结论:十二指肠损伤的病情复杂,目前尚无好的特异性检查,处理困难。十二指肠修补术、十二指肠空肠Roux-en-Y吻合术和Cogbill改良憩室化手术再简化手术是治疗十二指肠损伤的实用方法。Objective： To study the early diagnosis and suitable surgical treatment for duodenal injury. Method： Clinical data of 25 patients with duodenal injury were analyzed retrospectively and 5 patients were successfully with Modificed cogbill＇ s technigues for diverficalization. Result： 25 cases underwent surgical treatment. 21 were cured. 4 died. Early diagnosis and treatment for duodenal injury were very important. Conclusion： Primary repair and Roux-en-Y duodenojejunostomy and Modificed Cogbill＇s technigues for diverficalization are practical operation.

关 键 词：十二指肠损伤 诊断 手禾治疗 

分 类 号：R656.7[医药卫生—外科学]