胰十二指肠切除术后胰瘘相关因素分析

Analysis of pancreatic fistula correlated factors after pancreatoduodenectomy

目的:探讨影响胰十二指肠切除术(PD)后胰瘘发生的危险因素。方法:对行PD病例141例临床资料进行统计分析。结果:年龄、性别、术前血红蛋白、术前白蛋白和手术失血量与术后胰瘘无明显关系,而胰腺质地、黄疸和手术时间与胰瘘发生有关。结论:胰腺质地、黄疸和手术时间是影响PD后胰瘘的主要危险因素。

Objective ：To investigate the risk factors associated with the development of pancreatic fistula after pancreatoduodenecto- my （PD）.Methods：We statistically analysized the clinical data of 141 eases undergone PD from 1997 to 2007.Results：There was significant correlation between texture of pancreas,icterus ,operation time with development of pancreatic fistula after pancreatoduodenectomy, but no significant correlation with age,sex,preoperative hemoglobin level and preoperative prealbumin level,blood loss during operation. Conclusion：Texture of pancreas,icterus, and operation time are main risk factors of development of pancreatic fistula after PD.