胰体尾切除术后胰瘘的危险因素分析  

Risk factors for pancreatic fistula after distal pancreatectomy

作　　者：王高卿[1] 陆才德[1] 虞伟明[1] 王泽升[1] 华永飞[1] 彭涛[1] 

机构地区：[1]宁波市医疗中心李惠利医院肝胆胰外科,浙江省315060

出　　处：《中华普通外科杂志》2015年第5期344-347,共4页Chinese Journal of General Surgery

摘　　要：目的 分析胰体尾切除术后胰瘘发生的危险因素.方法 回顾性分析2006年1月至2013年6月宁波市医疗中心李惠利医院125例行胰体尾切除术患者的临床资料.结果 125例行胰体尾切除的患者中,胰瘘是最常见的手术并发症（43/125,34.4％）,其中A级27例,B级16例,C级0例.多因素分析结果提示胰腺的质地及主胰管是否结扎是影响胰瘘的独立危险因素（均P＜0.05）.结论 胰瘘是胰体尾切除术后最常见的手术并发症,其中胰腺的质地、是否结扎主胰管是发生胰瘘的主要危险因素.Objective To find the potential risk factors for pancreatic fistula after distal pancreatectomy.Methods Clinical data of 125 cases of consecutive distal pancreatectomy in Ningbo Lihuili Hospital from January 2006 to June 2013 were retrospectively analyzed.Results In all the 125 patients with distal pancreatectomy,pancreatic fistula was the most common surgical complication （43/125,34.4%）,including 27 cases of grade A fistula,16 cases of grade B pancreatic fistula.Multivariate analysis showed that the texture of the pancreas and main pancreatic duct ligation were the independent risk factors for pancreatic fistula （all P 〈 0.05）.Conclusions Pancreatic fistula was the most common surgical complication of distal pancreatectomy.The texture of the pancreas and main pancreatic duct ligation effect the occurrence of postoperative pancreatic fistula.

关 键 词：胰腺切除术 胰腺瘘 胰腺疾病 

分 类 号：R657.5[医药卫生—外科学]