胰十二指肠切除术后胰瘘发生的相关因素及防治  

Risk Factors and Prevention and Treatment of Pancreatic Fistula after Pancreatoduodenectomy

作　　者：王扬帅 乔海泉[1] WANG Yangshuai;QIAO Haiquan(Department of Gastric Splenic Portal Hypertension,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院胃脾门静脉高压外科,哈尔滨150001

出　　处：《医学综述》2018年第11期2211-2215,共5页Medical Recapitulate

摘　　要：胰瘘是胰十二指肠切除术后最常见的并发症,其发生率高、危害大、补救难,可引起感染、大出血、多器官功能衰竭,致死性强。近年来随着医疗技术的不断发展,胰瘘相关的病死率虽有所下降,但发病率并没有改变。因此,明确胰瘘的相关危险因素,针对性地采取相应预防措施,并给予积极有效的处理方法才能从根本上降低胰瘘的危害。胰瘘的危险因素包含局部因素、手术因素以及全身因素。胰瘘的治疗为分阶段治疗,包括非手术治疗、内镜及介入治疗、外科手术治疗等。Pancreatic fistula after pancreaticoduodenal resection is the most common complications,with the features of high incidence,great harm and difficult remedy,which may cause infection,hemorrhage,multiple-organ failure with strong lethality.In recent years,with the continuous development of medical technology,the incidence of pancreatic fistula-related mortality has declined,but the incidence has not changed.Therefore,clarifying the relevant risk factors of pancreatic fistula,to take appropriate preventive measures and give a positive and effective treatment can fundamentally reduce the risk of pancreatic fistula.Risk factors for pancreatic fistula include local factors,surgical factors and systemic factors.Treatment of pancreatic fistula is a phased treatment,including non-surgical treatment,endoscopic and interventional treatment,and surgical treatment.

关 键 词：胰十二指肠切除术 胰瘘 胰管空肠吻合术 

分 类 号：R657.5[医药卫生—外科学]