摘要
目的探讨胰十二指肠切除术后胰瘘发生的原因及其防治方法。方法回顾性分析2008年1月至2010年11月收治的76例胰十二指肠切除术患者的临床资料,对其术后发生胰瘘的14例患者进行临床分析。结果 76例胰十二指肠切除患者共发生术后胰瘘14例,发生率18.4%。该14例胰瘘患者中12例经保守治疗后痊愈,有效率为85.7%,2例患者经二次手术治疗,其中1例患者死亡(7.1%)。结论胰十二指肠切除术后胰瘘的发生率和病死率仍较高。术中及术后对患者的恰当处理是减少术后胰瘘的关键因素。
Objective To explore the prevention and treatment of pancreatic fistula secondary to pancreaticoduodenectomy.Methods We retrospectively analyzed the clinical data of 14 pancreatic fistula cases after pancreaticoduodenectomy from January 2008 and November 2010.Results There were 14 patients with pancreatic fistula after pancreaticoduodenectomy,and the incidence rate was 18.4 %.And 12 patients were cured by expectant treatment.The other 2 patients underwent re-operation.There was one patient dead,and the death rate was 7.1%.Conclusions The incidence and death rate of pancreatic fistula after pancreaticoduodenectomy are still high.The reduce the rate of pancreatic fistula lies in the reasonable treatment during or after operation.
出处
《中华普外科手术学杂志（电子版）》
2011年第2期51-52,共2页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胰腺肿瘤
胰十二指肠切除术
胰腺瘘
手术后并发症
Pancreatic neoplasms
Pancreatisoduodenectomy
Pancreatic fistula
Postoperative complications
