布劳吻合在胰十二指肠切除术中的应用效果  

Application effect of Braun anastomosis in pancreaticoduodenectomy

作　　者：赵乔飞 查文章 周勇 秦呈林 张业鹏 徐一凡 ZHAO Qiaofei;ZHA Wenzhang;ZHOU Yong;QIN Chenglin;ZHANG Yepeng;XU Yifan(Yancheng Clinical College,Xuzhou Medical University,Jiangsu Province,Yancheng224000,China;Department of General Surgery,Yancheng NO.1 People’s Hospital,Jiangsu Province,Yancheng224000,China;Department of General Surgery,the Fourth Affiliated Hospitial of Nantong University,Jiangsu Province,Yancheng224000,China)

机构地区：[1]徐州医科大学盐城临床学院,江苏盐城224000 [2]江苏省盐城市第一人民医院普外科,江苏盐城224000 [3]南通大学第四附属医院普外科,江苏盐城224000

出　　处：《中国医药导报》2022年第28期106-110,共5页China Medical Herald

基　　金：江苏省卫生健康委员会、医学科研计划面上项目(M2020100)。

摘　　要：目的探讨布劳吻合在胰十二指肠切除术中的应用效果。方法对2017年2月至2020年2月于江苏省盐城市第一人民医院普外科行胰腺十二指肠切除术的101例患者行前瞻性研究,根据患者意愿进行分组,传统组49例,采用标准胰腺十二指肠切除;改良组52例,在标准胰腺十二指肠切除术的基础上加行小肠布劳吻合。比较两组手术前后相关实验室指标、围手术期指标及术后并发症发生情况。结果两组术后白蛋白、总胆固醇和总胆红素均低于术前,差异有统计学意义(P<0.05)。改良组术后住院时间、肠道恢复时间、引流管留置时间均短于传统组,差异有统计学意义(P<0.05)。改良组术后并发症总发生率和输入袢梗阻发生率低于传统组,差异有统计学意义(P<0.05)。结论布劳吻合在胰十二指肠切除术中的应用可降低术后并发症发生率,加快术后胃肠道功能恢复,缩短住院时间。Objective To investigate the application effect of Braun anastomosis in pancreaticoduodenectomy.Methods A prospective study was conducted on 101 patients who underwent pancreaticoduodenectomy in the Department of General Surgery,Yancheng NO.1 People’s Hospital of Jiangsu Province from February 2017 to February 2020.They were grouped according to their wishes.In the traditional group,49 cases were treated with standard pancreaticoduodenectomy.In the modified group,52 cases received lateral small bowel Braun anastomosis on the basis of standard pancreaticoduodenectomy.The relevant laboratory indicators,perioperative indicators,and postoperative complications were compared between the two groups.Results The levels of albumin,total cholesterol,and total bilirubin in the two groups after operation were lower than those before operation,and the differences were statistically significant(P<0.05).The postoperative hospital stay,intestinal recovery time,and drainage tube indwelling time in the modified group were shorter than those in the traditional group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications and the incidence of afferent loop obstruction in the modified group were lower than those in the traditional group,and the differences were statistically significant(P<0.05).Conclusion The application of Braun anastomosis in pancreaticoduodenectomy can reduce the incidence of postoperative complications,accelerate the recovery of gastrointestinal function and shorten the length of hospital stay.

关 键 词：布劳吻合 胰十二指肠切除术 术后并发症 术后胰瘘 输入袢梗阻 

分 类 号：R657.5[医药卫生—外科学]