胰横断部-空肠Roux-Y术治疗胰头颈部横断伤  

Transective trauma of head - nuchae pancreas treated by Roux-Y pancreati- coenterostomy

作　　者：秦春宏[1] 李永国[1] 徐海帆[1] 

机构地区：[1]中南大学湘雅二医院肝胆疾病研究室,长沙410011

出　　处：《临床外科杂志》2003年第3期159-160,共2页Journal of Clinical Surgery

摘　　要：目的 提高胰头颈部断裂伤治疗水平。方法 对6例胰头颈部断裂伤患者施行胰横断部-空肠Roux-Y术,胰头、体尾端胰管及空肠盲襻负压外引流,吻合口的叠套深度为1.5 cm。结果 术后第15天造影显示胰管及空肠引流通畅,吻合口处无积液,无腔外渗出。术后恢复好,无胰瘘发生。结论 本术式对预防胰头颈部横断损伤术后胰瘘的发生有一定作用。Objective To treat the transective trauma of head - nuchae pancreas by Roux-en-Y pancreaticoenterostomy. Methods The 6 cases of transective trauma of head - nuchae pancreas were treated with Roux-en-Y pancreaticoenterostomy, the head and body pancreatic duct and the blind part of small intestine were extra - drainaged by negative pressure, and the depth of intussusception was 1.5 cm. Results The radiography indicated that the pancreatic duct and small intestine were unobstructed . All patients recovered smoothly without any leakage or fistula after operation. Conclusion It is suggested that the treating transective trauma of head - nuchae pancreas with Roux-Y pancreaticoenterostomy is valid in preventing of pancreatic fistula.

关 键 词：胰腺 横断伤 ROUX-Y术 吻合术 

分 类 号：R657.5[医药卫生—外科学]