摘要
目的:探讨胰十二指肠切除术后并发胰漏的相关因素。方法:58例患者根据手术后有无胰漏分为胰漏组和愈合组,分析与胰漏发生相关的因素。结果:两组的白蛋白、总胆红素、术中失血量、胰管直径、胰腺质地,以及游离胰腺残端长度相比较,差异有显著性意义(P均<0.05)。结论:胰漏的发生与高胆红素血症、术中出血量、胰管直径、胰腺质地及游离胰腺残端长度有关。细致的外科操作技术是预防胰漏发生的关键。
Objective： To discuss the prevention and treatment of pancreatic leakage after panceatoduodenectomy. Methods： A total of 58 patients were retrospectively divided into 2 groups according to with or in absence of postoperative pancreatic leakage. Results ： Significant differences in albumin, total bilirubin, blood loss, the diameter of pancreatic duct, pancreas texture, and the length of the free end of the pancreatic stump were found between the 2 groups, P 〈 0.05. Conclusion：A positive preparation before operation and meticulous surgical techniques are key factors for the prevention of pancreatic leakage after panceatoduodenectomy.
出处
《浙江中西医结合杂志》
2009年第3期144-146,共3页
Zhejiang Journal of Integrated Traditional Chinese and Western Medicine
关键词
胰腺
十二指肠
胰
漏
诊
断
治
疗
pancreas
duodenum
pancreatic leakage
diagnosis
treatment
