摘要
目的 探讨壶腹周围癌合并糖尿病患者的围手术期处理方法。方法 回顾性总结１９９６～１９９８ 年收治的２９ 例壶腹周围癌合并糖尿病患者的临床资料。结果 全部病例均手术治疗，其中胰十二指肠切除术１９ 例，均严格按糖尿病处理，术前血糖控制在５．３～７．６ｍ ｍ ｏｌ／ Ｌ。围手术期疗效满意率为１００％ ，无手术死亡。结论 加强围手术期的处理可提高壶腹周围癌合并糖尿病患者的手术耐受性，降低术后并发症。
Objective To investigate the perioperative management of Vater's ampulla carcinoma with diabetes.Methods From March 1996 to September 1998,29 patients of Vater's ampulla carcinoma with diabetes were treated,pancreatoduodenectomy was performed in 19 cases,biliary enterostomy was performed in 10 cases.Among all the patients,16 patients were suffered from diabetes before they entered the hospital,and 13 patients were diagnosed with diabetes after permission.Results The concentration of blood glucose was controlled from 5.3-7.6mmol/L,and the treatment effects of all patients were 100% satisfactory.Conclusion Intensifying the perioperative management can enhanced the operative tolerance of the patients and the complication was decreased.
出处
《肝胆外科杂志》
1999年第4期287-289,共3页
Journal of Hepatobiliary Surgery
关键词
壶腹周围癌
糖尿病
围手术期
处理
Vater's ampulla carcinoma Diabetes Perioperative Management
