局部剜除术治疗胰头部良性肿瘤的效果分析

Effect Analysis of Local Enucleation in Treatment of Benign Tumors of Pancreatic Head

目的:分析局部剜除术治疗胰头部良性肿瘤的效果。方法:回顾性分析2012年8月—2022年8月于郓城县人民医院行手术治疗的74例胰头部良性肿瘤患者的临床资料,根据手术方式分为局部剜除组及胰十二指肠切除组,各37例。局部剜除组行局部剜除术治疗,胰十二指肠切除组行胰十二指肠切除术治疗。比较两组围术期指标、并发症发生情况、生活质量。结果:局部剜除组手术时间、住院时间短于胰十二指肠切除组,差异有统计学意义(P<0.05)。局部剜除组胰瘘发生率高于胰十二指肠切除组,胃排空障碍发生率低于胰十二指肠切除组,差异有统计学意义(P<0.001)。两组吻合口狭窄、术后出血、死亡率比较,差异无统计学意义(P>0.05)。局部剜除组生活质量良好率高于胰十二指肠切除组,差异有统计学意义(P<0.001)。结论:局部剜除术治疗胰头部良性肿瘤的效果较好,手术时间短,能够促进患者恢复,提高术后生活质量。

Objective:To analyze the effect of local enucleation in the treatment of benign tumors of pancreatic head.Methods:The clinical date of 74 patients with benign tumors of pancreatic head who underwent surgical treatment at Yuncheng County People's Hospital from August 2012 to August 2022 were retrospectively analyzed.They were divided into a local enucleation group and a pancreaticoduodenectomy group based on the surgical method,with 37 cases in each group.The local enucleation group underwent local enucleation,and the pancreaticoduodenectomy group underwent pancreaticoduodenectomy.The perioperative indicators,occurrence of complications,and quality of life of the two groups were compared.Results:The surgical time and length of hospital stay in the local enucleation group were shorter than those in the pancreaticoduodenectomy group,and the difference was statistically significant(P<0.05).The incidence of pancreatic fistula in the local enucleation group was higher than that in the pancreaticoduodenectomy group,the incidence of gastric paralysis in the local enucleation group was lower than that in the pancreaticoduodenectomy group,and the difference was statistically significant(P<0.001).There was no significant difference in the anastomotic stenosis,postoperative bleeding,and mortality between two groups(P>0.05).The rate of good quality of life in the local enucleation group was higher than that in the pancreaticoduodenectomy group,and the difference was statistically significant(P<0.001).Conclusion:Local enucleation is effective in the treatment of benign tumors of pancreatic head.It has short surgical time,promotes the recovery of patients,and improves the postoperative quality of life.