中国现代医学杂志2017，Vol.27Issue(26)：75-78,4.DOI:10.3969/j.issn.1005-8982.2017.26.015
350例胰十二指肠切除术后并发症的相关危险因素分析
Risk factors of complications after pancreatoduodenectomy in 350 patients
摘要
Abstract
Objective To investigate the risk factors of post-pancreatoduodenectomy complications.Methods The clinical data of 350 patients who underwent pancreatoduodenectomy in the Fourth Hospital of Hebei Medical University between January 2010 and December 2013 were retrospectively studied.The correlations of thirteen clinicopathological factors (age,gender,combined diseases of vital organs,history of abdominal surgery,ALB,TBIL,ALT,CA199,operative time,intraoperative blood transfusion,tumor location,tumor size and diameter of pancreatic duct) with the postoperative complications were studied.Logistic regression analysis was used to screen the related risk factors for postoperative complications.Results Univariate analysis showed that the major risk factors for postoperative complications were age,combined diseases of vital organs,intraoperative blood transfusion,tumor location and pancreatic duct diameter (P ＜0.05).Multivariate analysis showed that blood transfusion volume,tumor location and pancreatic duct diameter were the independent risk factors for complications after pancreatoduodenectomy;pancreatic duct diameter was the independent risk factor of pancreatic fistula;TBI was the independent risk factor of hemorrhage;age,blood transfusion volume and pancreatic duct diameter were the independent risk factors of postoperative infection (P ＜ 0.05).Conclusions Postoperative complications of pancreatoduodenectomy are closely related to blood transfusion volume,tumor location and pancreatic duct diameter.关键词
胰十二指肠切除术/并发症/危险因素/胰瘘/出血/感染Key words
pancreatoduodenectomy/complication/risk factor/pancreatic fistula/hemorrhage/infection分类
医药卫生引用本文复制引用
张志磊,张萌,彭利,贾聿明,徐卓,张冬胜,唐瑞峰..350例胰十二指肠切除术后并发症的相关危险因素分析[J].中国现代医学杂志,2017,27(26):75-78,4.基金项目
河北省医学科学研究重点课题计划(No:ZL20140079) （No:ZL20140079）
