摘要
目的探讨胰腺损伤的临床诊断、治疗方法及预后。方法回顾性分析2002年3月至2007年9月收治的18例胰腺损伤患者的诊治与预后。其中13例患者接受手术治疗,5例患者接受非手术治疗。13例中有8例胰腺损伤的患者行损伤部位修补加局部引流术;3例行胰头侧断端主胰管闭锁缝合、胰体尾部切除术;1例行胰头侧断端主胰管闭锁缝合、体部断端胰空肠Roux-en-Y吻合术;1例行改良十二指肠旷置术。结果 18例均治愈,治愈率为100%。治疗过程中10例出现不同程度的并发症,并发症发生率为55.6%。结论胰腺损伤治疗需明确损伤部位和损伤程度,选择合理的手术方式是提高胰腺损伤治愈率、减少术后并发症的关键。
Objective To explore the diagnosis and treatment of the pancreatic trauma.Methods The results were analyzed retrospectively on the clinical data of 18 cases of the pancreatic trauma in our hospital from March 2002 to September 2007,respectively.Among them,there were 13 cases who underwent surgical treatment,and other 5 cases were underwent nonoperative treatment.For these operational cases,8 cases were performed the local debride and drainage.3 cases were performed the removal of the body and tail of pancreas.One case was performed the ligature and suture at the broken end of the pancreatic head and Roux-en-Y pancreaticojejunostomy at the broken end of the pancreatic body.And one case was performed duodenal diveticulization.Results 18 patients were successfully cured,and the cured rate was 100%.There were 10 cases who suffered from different complications,and the complication rate was 55.6%.Conclusion The key to the treatment of pancreatic injury is whether there is some injuries on the main pancreatic duct.Make sure the position and degree of the injuries.The key to improve the cure rate of pancreatic injury and to reduce postoperative complications is selecting optimal surgical method.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第2期141-142,共2页
Chongqing medicine
关键词
胰腺
诊断
治疗
pancreas
diagnosis
therapy
