摘要
目的探讨胰十二指肠切除术后胰漏相关危险因素,为临床的防治提供参考。方法回顾性分析郑州大学第一附属医院自2006年1月至2012年1月期间住院的159例行胰十二指肠切除术的患者,将其中发生胰漏的18例患者作为实验组,其余患者作为对照组,实验组和对照组进行进行单因素非条件和多因素非条件的Lo-gistic回归分析。结果单因素分析结果胰十二指肠切除术后胰漏与胰管直径、术前白蛋白、是否胰管支撑引流、是否应用生长抑素、胰腺质地有相关性,差异无统计学意义(P<0.05);多因素非条件的Logistic回归分析显示胰十二指肠切除术后胰漏与胰管直径、是否胰管支撑引流、是否应用生长抑素、胰腺质地相关(P<0.05)。结论胰管直径、是否胰管支撑引流、是否应用生长抑素、胰腺质地是胰十二指肠切除术后胰漏的危险因素。
Objective To explore the related risk factors of 159 cases pancreatic fistula after pancreaticoduodenectomy, it provides the reference for clinical. Methods Totally 159 pancreticoduedenectomy patients were retrospective analyzed from January 2006 to January, 18 patients for postoperative pancreatic fistula were as the experimental group, and the remaining patients were as a control group, experimental group and the control group have single factor non - conditional and non - conditional logistic regression analysis. Results Single factor analysis results show that pancreatic fistula after pancreaticoduodenectomy is closely related to pancreatic duct diameter, preoperative albumin, drainage of pancreatic duct support, application of somatostatin, pancreatic texture, the difference was not statistically significant （P 〈 0. 05 ） ; Many factors of Logistic regression showed that is closely related to pancreatic duct diameter, drainage of pancreatic duct support, application of somatostatin, pancreatic texture （P 〈 0. 05）. Conclusions Drainage of pancreatic duct diameter, pancreatic duct support, application of somatostatin, pancreatic texture are risk factors for pancreatic fistula after pancreaticoduodenectomy.
出处
《医药论坛杂志》
2013年第1期18-19,22,共3页
Journal of Medical Forum
