中国中西医结合外科杂志2016，Vol.22Issue(3)：224-227,4.DOI:10.3969/j.issn.1007-6948.2016.03.004
胰十二指肠切除术后胃瘫的危险因素临床分析
Clinical Analysis of Risk Factors for Postoperative Gastroparesis Syndrome after Pancreaticoduodenec-tomy
李进军 1杜智2
作者信息
- 1. 天津医科大学三中心临床学院 天津 300170
- 2. 天津市第二人民医院 天津 300192
- 折叠
摘要
Abstract
Objective To investigate the risk factors of postoperative gastroparesis syndrome in patients un⁃dergoing pancreaticoduodenectomy. Methods A retrospective review was performed on the medical records of 497 patients undergoing pancreaticoduodenectomy. With or without gastroparesis syndrome after operation as the dependent variable, all cases were carried out on the clinical data of statistical tests, and those with statistically significant variables were studied to introduce two classifications on unconditioned stepwise Logistic regression model for multiple factors analysis, to identify independent risk factors. Results Single factor analysis results showed that ASA score, age, postoperative application of somatostatin, pancreatic duct supporting tube length, and the diameter of the pancreatic duct, all were the risk factors for pancreaticoduodenectomy postsurgical gastro⁃paresis syndrome. Multi-factor unconditioned Logistic regression analysis results showed that age, and postopera⁃tive application of somatostatin were the independent risk factors for pancreaticoduodenectomy postsurgical gas⁃troparesis syndrome. Conclusion Postoperative somatostatin makes older patients more prone to gastroparesis syndrome after pancreaticoduodenectomy . To improve the operation precision, increasing the length of the pan⁃creatic duct supporting tube, the incidence of postsurgical gastroparesis syndrome after pancreaticoduodenectomy may be reduced.关键词
胰十二指肠切除术/胃瘫综合征/危险因素Key words
Pancreaticoduodenectomy/postsurgical gastroparesis syndrome/risk factors分类
医药卫生引用本文复制引用
李进军,杜智..胰十二指肠切除术后胃瘫的危险因素临床分析[J].中国中西医结合外科杂志,2016,22(3):224-227,4.
