捆绑式胰腺胃吻合术在胰腺横断伤治疗中的应用效果  

Effect of Binding Pancreaticogastrostomy in Treatment of Injuries of Pancreatic Transection

作　　者：谭黄业[1] 樊献军[1] 张立峰[1] 喻俊彪[1] 伊建奎[1] 李时仲[1] 

机构地区：[1]解放军59医院成都军区腹部外科中心,云南开远661600

出　　处：《解放军医药杂志》2014年第1期48-50,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨捆绑式胰腺胃吻合术在胰腺横断伤治疗中应用的安全性、有效性。方法对2008年1月—2013年5月收治的诊断明确的胰腺横断伤41例,按照自愿的原则,分为观察组21例和对照组20例,观察组采用捆绑式胰腺胃吻合术,对照组采用胰腺空肠Roux-en-Y吻合术,比较两组吻合时间、术后第1天及第5天C反应蛋白(CRP)水平、术后肛门排气、排便时间、住院天数、住院费用及术后并发症发生情况。结果观察组吻合时间、肛门排气、排便时间、住院天数均短于对照组,术后CRP水平和住院费用均低于对照组(P<0.05,P<0.01);两组术后并发症发生率比较差异无统计学意义(P>0.05)。结论捆绑式胰腺胃吻合术在胰腺横断伤治疗中应用安全有效,可减轻手术应激,加速术后康复进程。Objective To explore the safety and effectiveness of binding pancreaticogastrostomy in treatment of injuries of pancreatic transection. Methods A total of 41 patients with injuries of pancreatic transection during June 2009 and May 2013 were divided into observation group （n = 21） and control group （n = 20） according to the voluntary principle. The observation group underwent binding pancreaticogastrostomy, and control group was treated with Roux-enY pancreaticojejunostomy. The indexes of anastomosis time, C-reactive protein （CRP） level at 1 et and 5th d after the operation, times of the first passing of flatus and defecation after operation, length of hospital stay, hospitalization costs and complications incidence rates in the two groups were compared. Results In observation group, the anastomosis time, times of the first passing of flatus and defecation after operation, length of hospital stay were shorter, and postoperative CRP level and hospitalization costs were lower than those of control group （P 〈 0.05, P 〈 0.01） ; the incidence rate of postoperative complications in the two groups showed no significant difference （P 〉 0. 05）. Conclusion Binding pancreaticogastrostomy in treatment of injuries of pancreatic transection is safe and effective, and can accelerate the postoperative rehabilitation.

关 键 词：胰腺胃吻合术 胰腺 创伤和损伤 治疗结果 

分 类 号：R657.5[医药卫生—外科学]