| 杨 光,林栋栋,伏 志,王振顺,臧运金.贯穿式胰管空肠黏膜缝合在胰十二指肠切除术中的对比研究[J].,2017,17(28):5480-5483 |
| 贯穿式胰管空肠黏膜缝合在胰十二指肠切除术中的对比研究 |
| Comparative Study on the Penetrating-suture Pancreaticojejunostomy in Patients with Pancreatoduodenctomy |
| 投稿时间：2017-01-06 修订日期：2017-01-30 |
| DOI：10.13241/j.cnki.pmb.2017.28.018 |
| 中文关键词: 胰十二指肠切除术 贯穿式胰管空肠黏膜缝合 胰瘘 吻合 并发症 |
| 英文关键词: Pancreatoduodenctomy Penetrating-suture pancreaticojejunostomy Pancreatic fistula Anastomosis Complication |
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| 中文摘要: |
| 摘要 目的：比较贯穿式胰管空肠黏膜缝合与传统缝合方式用于胰十二指肠切除术（PD）中的效果，并分析其用于PD术中的价值。方法：收集2010年9月-2015年12月我院行PD的60例病人临床资料，按照吻合方法的不同分为2组：贯穿组和传统组，各30例。贯穿组患者均采用贯穿式胰管空肠黏膜缝合，传统组患者均采取传统缝合的方式。对比两组患者临床一般指标（胰肠吻合时间、术中出血量和术后住院时间）以及围术期并发症（如胰瘘、淋巴漏、胃排空障碍、肺部感染、吻合口出血、腹腔脓肿）等情况，并比较两组再手术率和再入院率。结果：贯穿组胰肠吻合时间、术中出血量和术后住院时间较传统组减少，差异有统计学意义（P＜0.05）。贯穿组围术期胰瘘发生率为10.00%，显著低于传统组的40.00%，差异有统计学意义（P＜0.05），贯穿组B级胰瘘发生率显著低于传统组，差异有统计学意义（P＜0.05）。贯穿组再手术率、再入院率与传统组比较差异无统计学意义（P＞0.05）。结论：贯穿式胰管空肠黏膜缝有利于PD患者术后恢复，且围术期胰瘘发生率低，不失为一种有效的胰肠吻合方式。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the effect of the penetrating-suture pancreaticojejunostomy and traditional suture in pancreaticoduodenectomy(PD), and analyze their application value in PD. Methods: The data of 60 patients underwent PD in our hospital from September 2010 to December 2015 were collected, who were divided into two groups according to the difference of the anastomosis Methods: The penetration group and traditional group, with 30 patients in each group. The penetration group was treated with penetrating-suture pancreaticojejunostomy, while the traditional group was treated with traditional suture. Compared the clinical indexes(time of pancreaticojejunostomy, amount of bleeding during operation and postoperative hospital stay) and perioperative complications(such as pancreatic fistula, lymph leakage, gastric emptying, pulmonary infection, anastomotic bleeding, abdominal abscess, etc). Then compared the rates of re-operation, re-admission between the two groups. Results: The time of pancreaticojejunostomy, amount of bleeding during operation and postoperative hospital stay in penetration group were lower than the traditional group, the differences were statistically significant(P<0.05). The incidence of perioperative pancreatic fistula was 10.00% in penetratnion group, which was significantly lower than 40.00% in the traditional group, the difference was statistically significant(P<0.05), and the B grade pancreatic fistula in penetratnion group was significantly lower than traditional group, the difference was statistically significant(P<0.05). There was no significant difference in the rates of re-operation, re-admission between the two groups(P>0.05). Conclusion: Penetrating-suture pancreaticojejunostomy is good for postoperative recovery of patients with PD, and the incidence of perioperative pancreatic fistula is low, which is a effective mothod of intestinal anastomosis. |
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