经窦道Foley导尿管治疗胰十二指肠切除术后复杂胰瘘伴静脉大出血1例报告  

Clinical effect of Foley catheter through sinus tract in treatment of complex pancreatic fistula with massive venous hemorrhage after pancreaticoduodenectomy:A case report

作　　者：付裕 王洋 韩万斌 周荣幸[1] FU Yu;WANG Yang;HAN Wanbin;ZHOU Rongxing(Department of Biliary Surgery,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Hepatobiliary and Pancreatic Surgery,West China Guangan Hospital,Sichuan University,Guangan,Sichuan 638550,China)

机构地区：[1]四川大学华西医院胆道外科,成都610041 [2]四川大学华西广安医院肝胆胰外科,四川广安638550

出　　处：《临床肝胆病杂志》2024年第11期2283-2287,共5页Journal of Clinical Hepatology

基　　金：四川省科技支撑项目(2023YFS0183)。

摘　　要：目前,对于胰十二指肠切除术后胰瘘伴出血的治疗,血管介入和手术是主要的治疗手段,但以上治疗方法都存在一定的弊端,例如手术后出现再次胰瘘、出血、腹腔感染等并发症,介入治疗难以发现出血部位等。本文报道1例经引流管窦道置入Foley导尿管球囊压迫治疗胰十二指肠切除术后复杂性胰瘘伴静脉大出血患者。经导尿管球囊加压止血及有效引流,患者出血停止,消化道瘘痊愈,无胰腺假性囊肿、肠缺血、门静脉高压等并发症。At present,vascular intervention and surgery are the main methods for the treatment of pancreatic fistula with bleeding after pancreaticoduodenectomy,but these treatment methods have certain drawbacks,such as the complications of pancreatic fistula,bleeding,and abdominal infection after surgical treatment,and interventional treatment sometimes fails to identify the bleeding site.This article reports a case of complex pancreatic fistula with massive venous hemorrhage after pancreaticoduodenectomy treated with Foley catheter balloon compression through the drainage tube sinus.Bleeding was arrested and gastrointestinal fistula was cured after catheter balloon compression and effective drainage,with no complications such as pancreatic pseudocyst,intestinal ischemia,and portal hypertension.

关 键 词：胰腺肿瘤 胰十二指肠切除术 导尿管插入术 胰腺瘘 手术后出血 

分 类 号：R657.5[医药卫生—外科学]