网状补片戴戒式加固法行胰肠吻合术27例观察  

Observation of Pancreaticojejunostomy by meansof Mesh Patch Strengthening Method in 27 Cases

作　　者：阿依都.阿不都热依木 郭文江 朱学鹏 张辅江 姜炜 哈力木拉提.迪力夏提 

机构地区：[1]新疆库尔勒市巴州人民医院普外科,新疆库尔勒841000

出　　处：《新疆医学》2016年第5期563-564,578,共3页Xinjiang Medical Journal

摘　　要：目的探讨网状补片戴戒式加固法行胰肠吻合术治疗胰头癌及壶腹部肿瘤的安全性和疗效。方法对我院收治的27例病人,其中胰头癌12例,壶腹部癌15例;均在全麻下行网状补片戴戒式加固法行胰肠吻合术,术后随访三年,随访内容包括有无胰瘘、腹腔出血、切口感染等术后并发症。结果术后1例患者发生胰瘘(3.7%),1例发生腹腔出血(3.7%),2例发生切口感染(7.4%),1例发生胃排空障碍(3.7%)。结论网状补片戴戒式加固法行胰肠吻合术操作简便,是一种对柔软胰腺实施胰肠吻合术的可靠方法,手术并发症发生率低,能够明显降低术后胰肠吻合口瘘的发生。Objective To research security and curative effect of treatment of pancreatic head carcinoma and ampullary carcinoma on pancreaticojejunostomy by means of mesh patch strengthening method. Methods 27 cases were treated in our hospital, including 12 cases of pancreatic head carcinoma and 15 cases of ampullary carcinoma, all patients underwent pancreaticojejunostomy by means of mesh patch strengthening method under general anesthesia. The patients were followed up for three years, including pancreatic leaksge , abdominal bleeding and infection of incisional wound. Results One case （3.7%）of pancreatic leakage was observed and one case of abdominal bleeding was observed. Two case （7.4%）infection of incisional wound were observed. One case （3.7%）of delayed gastric emptying was observed. Conclusion Pancreaticojejunostomy by means of mesh patch strengthening method is easy to manage, and it is reliable on soft pancreas. The rate of operative complications is low, this method can decrease the occurrence of pancreatic fistula.

关 键 词：胰肠吻合术 网状补片 胰瘘 

分 类 号：R657.5[医药卫生—外科学]