上腹部器官簇移植术后胰腺功能的监测

Pancreatic function monitoring after upper abdominal cluster transplantation

目的探讨上腹部器官簇移植术后胰腺功能的监测方法。方法分析我院5例上腹部器官簇移植成功的临床病例资料。结果患者术后一般情况恢复良好,移植胰腺内、外分泌功能基本恢复正常,未发现有排斥反应。结论围手术期通过动态监测患者血糖、C肽、血胰岛素和血尿淀粉酶、腹腔引流液淀粉酶以及十二指肠减压管引流液淀粉酶,并结合Doppler彩超检查,可以较好地了解移植胰腺的内、外分泌功能。

Objectlve To explore the monitoring methods for pancreatic graft function after upper abdominal cluster transplantation. Methods Analysis of the clinical data of 5 cases of successful upper abdominal cluster transplantation in our center. Results The patients recovered well after the operation. Endocrine and exocrine functions of all the pancreas graft returned to normal without any rejection. Conclusions Dynamic monitoring of blood glucose, C-peptide, blood insulin, blood amylase, urine amylase, amylase in abdominal drainage and duodenal tube decompression drainage, in addition to Doppler color ultrasound examination, can effectively detect the endocrine and exocrine function of the pancreas graft.