胰管外引流与早期肠内营养在胰十二指肠切除术中的应用体会  

Applying of External Drainage of Pancreatic Fluid and Early Enteral Nutrition in Pancreaticoduodenectomy

作　　者：郑振江[1] 张抒[1] 蒲光春[1] 曹扬[1] 肖渝清[1] 于澜[1] 

机构地区：[1]成都市第三人民医院,成都610031

出　　处：《肿瘤预防与治疗》2016年第3期162-165,共4页Journal of Cancer Control And Treatment

摘　　要：目的：探讨胰管外引流与早期肠内营养在胰十二指肠切除术中的应用。方法：回顾性分析2011年1月至2015年12月我院收治的58例行胰管外引流与早期肠内营养的胰十二指肠切除术患者,观察术后并发症发生情况及胃肠功能恢复时间。结果：术后2例患者死亡,死亡率为3.4%。总的并发症发生率为53.4%,其中1例患者因腹腔出血行动脉栓塞术。术后肛门排气时间为3~7天,平均（4.5±0.9）天。术后第7天患者血清白蛋白水平与术前比较差异无统计学意义（P〉0.05）。结论：胰十二指肠切除术中使用胰管外引流和安置空肠造瘘管进行早期肠内营养,能减少术后并发症发生率,促进胃肠功能恢复,改善营养状况。Objective： To discuss the applying of external drainage of pancreatic fluid and early enteral nutrition in pancreaticoduodenectomy. Methods： Clinical data of 58 patients underwent pancreaticoduodenectomy who accepted external drainage of pancreatic fluid and early enteral nutrition in our hospital from January 2011 to December 2015 were retrospectively analyzed. The postoperative complications and flatus time were observed. Results： Two cases died after operation with the mortality of 3. 4%. The overall incidence of postoperative complications was 53. 4%,among which,one case accepted transcatheter arterial embolization due to intra-abdominal hemorrhage. The mean flatus time was 4. 5 ± 0. 9 days（ ranged from 3 to 7 days）. There was no significant difference of the serum albumin level at the 7th days after operation comparing with that before surgery（ P〈0. 05）. Conclusion： Applying of external drainage of pancreatic fluid and early enteral nutrition can reduce the incidence of postoperative complications,as well as promote the recovery of gastrointestinal function and improve the nutritional status of patients.

关 键 词：胰十二指肠切除术 胰管外引流 早期肠内营养 胰瘘 

分 类 号：R657.5[医药卫生—外科学]