中国普通外科杂志2011,Vol.20Issue(3):238-240,3.
不同胰管引流方式在胰肠吻合术后的疗效比较
The effect of different drainage of pancreatic duct after pancreaticojejunostomy
苏力担卡扎·仇曼 1何铁英 1韩玮 1林海 1陈启龙1
作者信息
- 1. 新疆医科大学第一附属医院胰腺外科,新疆乌鲁木齐830000
- 折叠
摘要
Abstract
Objective To study the effect of different medthods of pancreatic duct drainage on prevention of pancreatic fistula after pancreaticoduodenectomy. Methods The clinical records of 122 patients who underwent standard pancreaticoduodenectomy were analyzed, retrospectively. The stented drainage of pancreatic duct was used in 103 of 122 patients, including stented external drainage of pancreatic duct in 36 patients, and stented internal drainage of pancreatic duct in 67 patients; and without stented drainage in 19 patients. Results Pancreatic fistula was identified in 21of 103 patients in the drained group (4 in the stented external drainaged group and 17 in the stented internal drainaged group) , and in 5 of 19 patients in the nondrained group. The incidence of pancreatic fistula in the drained group ( 20.4% ) had no significant difference compared with the nondrained group (26.3% ,P > 0.05 ) , and the incidence of pancreatic fistula in the stented external drained group ( 11. 1% ) had no significant differenced compared with the stented internal drained group ( 25.4% , P > 0.05 ). Conclusions Comparing the incidence of pancreatic fistula from both groups, the authors believe that the stented drainage of pancreatic duct does not significantly reduce the incidence of pancreatic fistula after pancreaticoduodenectomy.关键词
胰十二指肠切除术/胰瘘/胰管引流分类
医药卫生引用本文复制引用
苏力担卡扎·仇曼,何铁英,韩玮,林海,陈启龙..不同胰管引流方式在胰肠吻合术后的疗效比较[J].中国普通外科杂志,2011,20(3):238-240,3.