闭合性十二指肠损伤外科治疗的探讨

Study on surgical treatment for closed duodenal injury

目的:探讨闭合性十二指肠损伤诊断和手术方式的选择。方法:回顾性分析我院1998～2006年收治的32例十二指肠损伤诊治经过。结果:32例病人术前确诊8例,术中确诊24例,治愈28例,治愈率87.5%。手术后并发症出现14例,占43.8%,其中十二指肠瘘8例,占25%。结论:合理的手术方式是治疗十二指肠损伤的重要措施,早期手术和有效的十二指肠减压是影响预后的主要因素。

Objective： To explore the diagnosis and surgical approach in patients suffering from duodenal injuries. Methods： The clinical data of 32cases of duodenal injury in our hospital from1998 to 2006 were summarized retrospectively. Results： Eight patients were diagnosed diagnosed preoperatively, and 24 cases were after operation. 28 cases（87.5%） were cured.Complications occurred inl4 cases （43.8%）. Duodenal fistula was the main complication. Conclusion： Simple and reasonable surgical procedure plays a important role in management of duodenal trauma. Early operation and effective decompression of the duodenum are the major factors for prognosis.