胃大部分切除联合十二指肠空肠吻合术治疗巨大十二指肠雍积症的效果观察  

Effects of subtotal gastrectomy combined with duodenojejunostomy on treatment of giant duodenal stasis

作　　者：李辉[1] 李运福[1] 朱锐昌[1] LI Hui;LI Yun-fu;ZHU Rui-chang(Department of General Surgery,Qiaotou Hospital of Dongguan City,Guangdong 523520,China)

机构地区：[1]东莞市桥头医院普通外科,广东523520

出　　处：《中国临床新医学》2018年第1期36-38,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的观察胃大部分切除联合十二指肠空肠吻合术治疗巨大十二指肠雍积症的效果。方法回顾性分析该院2000-01~2015-12胃大部分切除联合十二指肠空肠吻合术治疗巨大十二指肠雍积症33例的临床资料。结果 33例全部采用胃大部分切除联合十二指肠空肠吻合术治疗。手术时间为(150±28)min,出血量为(200±45)ml,术后肛门排气肠功能恢复时间为(3.5±1.5)d,住院时间为(25.3±8.6)d。术后1例在拔除十二指肠造瘘管第2天发生十二指肠瘘,经再次手术后痊愈出院,切口感染3例,经伤口换药后治愈,发生黏连性肠梗阻2例,经保守治疗后痊愈,未见腹腔脓肿病例,无手术死亡病例。术后随访1年以上,未见复发病例。结论胃大部分切除联合十二指肠空肠吻合术治疗巨大十二指肠雍积症是安全可行的,值得临床推广。Objective To study the effects of subtotal gastrectomy combined with duodenojejunostomy on treatment of giant duodenal stasis.Methods The clinical data of 33 patients with giant duodenal stasis receiving the operation of subtotal gastrectomy combined with duodenojejunostomy in our hospital from January 2000 to December 2015 were retrospectively analyzed.Results All the patients were treated with subtotal gastrectomy combined with duodenojejunostomy.The time of operation was(150±28)min.The bleeding volume during surgery was(200±45)ml.The recovery time of the anal discharge bowel function after surgery was(3.5±1.5)d.The hospital stay was(25.3±8.6)d.One case had postoperative duodenal fistula on the second day after the duodenum fistulas were pulled out,however the patient was cured and discharged from the hospital after reoperation.Three cases had incision infection but were cured after wound dressing.Two cases had intestinal obstruction but were cured after conservative treatment.No abdominal abscess and no operative deaths occurred.Conclusion Subtotal gastrectomy combined with duodenojejunostomy is safe and feasible for the treatment of giant duodenal stasis.

关 键 词：胃大部分切除 十二指肠空肠吻合 十二指肠雍积症 

分 类 号：R656[医药卫生—外科学]