保留十二指肠胰头勺式切除与Whipple术治疗慢性胰腺炎并胰头结石的对比研究  

Comparative Study of Duodenum-preserving Pancreatic Head Spoon Type Resection and Whipple Operation for Chronic Pancreatitis with Pancreatic Head Stones

作　　者：刘昌军[1] 杨尽晖[1] 尹新民[1] 梁路峰[1] 沈贤波[1] 陈梅福[1] 周海兰[1] 吴金术[1] 

机构地区：[1]湖南省人民医院湖南省肝胆医院,长沙410005

出　　处：《中国现代手术学杂志》2012年第4期249-252,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨保留十二指肠胰头勺式切除术在慢性胰腺炎并胰头结石治疗的价值。方法胰头部结石患者64例,行保留十二指肠胰头勺式切除24例(Ⅰ组)和Whipple术40例(Ⅱ组)。比较两种方法在手术时间、术中出血量、术后血糖及胆红素水平、疼痛缓解、住院时间及并发症等指标的差异。结果两组手术时间、术中出血量均有统计学差异(P<0.05);术后血糖、胆红素变化及腹痛缓解率比较无统计学差异(P>0.05);而住院时间、并发症发生率两组比较有统计学差异(P<0.05)。结论保留十二指肠胰头勺式切除在慢性胰腺炎并胰头部结石术中是安全可行的,相对胰十二指肠切除术,其创伤相对小,术后恢复快,住院时间短,并发症发生率低。Objective To explore the value of duodenum-preserving pancreatic head spoon resection in the treatment of chronic pancreatitis with pancreatic head stones. Methods 64 cases with pancreatic head stones were treated by duodenum-preserving pancreatic head spoon type resection （group I, n = 24） and Whipple operation （group 1], n =24）. The operative duration, intra-operative blood loss, postoperative blood glucose and hilirubin, pain relief rate, hospitalization duration and complication rate were compared between two groups. Results There was obviously statistic difference in operative time and blood loss volume between two groups （P 〈0.05）. Postoperative blood glucose, bilirubin changes and abdominal pain remission rate was no significant difference between two groups （P 〉 0. 05）. And hospital stay and complication rate has statistic difference between two groups （P 〈 0. 05）. Conclusion The surgery of duodenum-preserving pancreatic head spoon resection is safe and feasible for chronic pancreatitis with pancreatic head stone, relative to pancreaticoduodenectomy, it has features with relatively small trauma, rapid postoperative recovery, shorter hospital stay and low risk of complications.

关 键 词：保留十二指肠 胰腺炎 慢性 结石 胰十二指肠切除术 

分 类 号：R657.5[医药卫生—外科学]