三种胰肠吻合术式与胰瘘的关系  

Pancreaticojejunostomy and pancreatic fistula

作　　者：金建光[1] 孙君军[1] 刘伟峰[1] 

机构地区：[1]河南省洛阳市河南科技大学第一附属医院普外一科,471003

出　　处：《腹部外科》2007年第4期234-235,共2页Journal of Abdominal Surgery

摘　　要：目的比较分析胰管空肠黏膜吻合术、改良式胰肠套入吻合术和胰肠套入吻合术发生胰瘘的差异。方法回顾性分析我院2000年1月～2007年1月间行3种胰肠吻合术共127例的临床资料,比较不同吻合术术后胰瘘的发生率。结果胰管空肠黏膜吻合术、改良式胰肠套入吻合术和胰肠套入吻合术术后的胰瘘发生率分别为1.5%?2.7%?13.6%。主胰管外引流与无外引流者的胰瘘发生率有非常显著性差异(P<0.01),胰肠套入式吻合与另两种吻合术术后胰瘘发生率均有显著性差异(P<0.01,P<0.05)。结论主胰管外引流对减少胰瘘发生有重要意义。胰管空肠黏膜吻合术优于胰肠套入式吻合术。胰管纤细时改良式胰肠套入吻合术对减少胰瘘的发生是有效的。Objective To compare and analyze the difference of pancreatic fistula in patients following duct-to-mucous pancreaticojejunostomy or modified invaginated pancreaticojejunostomy or invaginated pancreaticojejunostomy. Methods From January 2000 to January 2007,127 cases undergoing different types of pancreaticojejunostomy were analyzed retrospectively and the incidence of pancreatic fistula was compared. Results The incidence of pancreatic fistula in each group was 1.5% ,2. 7% and 13. 6%. There was significant difference in the pancreatic fistula rate between invaginated pancreatico- jejunostomy group and another two groups. Conclusion External drainage of main pancreatic duct is important to reduce pancreatic fistula occurrence. Duct-to-mucous pancreaticojejunostomy is superior to invaginated pancreaticojejunostomy. Modified invaginated pancreaticojejunostomy is effective to reduce pancreatic fistula occurrence when main pancreatic duct is fine.

关 键 词：胰腺瘘 胰管空肠吻合术 引流 

分 类 号：R657.4[医药卫生—外科学]