保留幽门胰十二指肠切除术后胃排空障碍的预防和治疗  

Prevention and management of the delayed gastric emptying syndrome after pylorus preserving pancreaticoduodenectomy.Peng Shuyou\+*,Liu Yingbing,Wang Jiah

作　　者：彭淑牖[1,2] 刘颖斌[1,2] 王家骅[1,2] 彭承宏 蔡秀军[1,2] 吴育连[1,2] 牟一平[1,2] 

机构地区：[1]浙江大学附属第二医院普外科 [2]浙江大学附属邵逸夫医院普外科

出　　处：《中国实用外科杂志》1999年第6期344-345,共2页Chinese Journal of Practical Surgery

摘　　要：目的研究保留幽门十二指肠切除术（ＰＰＰＤ）后的胃排空障碍（ＤＧＥ）的防治。方法对４４例ＰＰＰＤ术后ＤＧＥ的病人进行回顾性分析，选择性地进行胃造口安置减压组合营养管（ＰＳⅡ型管）观察其疗效。结果本组病例ＤＧＥ的发生率为２５％。通过ＰＳⅡ型管胃造口可获得满意效果，没有相关并发症。结论ＰＳⅡ型管有减压和营养功能，通过胃造口安置可有效地防治ＰＰＰＤ术后ＤＧＥ。Objective To explore an effective method for the prevention and management of delayed gastric emptying(DGE)after pylorus preserving pancreatoicduodenectomy(PPPD). Methods Retrospective study on the experiences of management and prevention for DGE after PPPD in 44 cases,and observe the effectiveness of preventive gastrostomy with intubation of a specially designed tube(PS tube)which has both functions of decompression and feeding. Results DGE rate in this series is 25%.PS tube was applied in the group with satisfactory result without resulting complications. Conclusion Application of PS tube through gastrotomy is an ideal way to prevent and treat DGE after PPPD.This is also a safe way to alleviate the patients suffering from the naso-gastric tube which is not only hardly tolerable but also a factor to induce pulmonary infection.

关 键 词：胰十二指肠切除 胃排空障碍 PPPD 保留幽门 

分 类 号：R656.610.6[医药卫生—外科学] R573[医药卫生—临床医学]