8例腹部闭合性损伤胰腺断裂伤手术治疗分析

Surgical Treatment of Pancreatic Rupture in Closed Abdominal Trauma

目的:探讨腹部闭合性损伤,胰腺断裂伤手术治疗疗效。方法:对8例腹部闭合性损伤,胰头、颈、体及尾部断裂伤病例手术治疗进行分析。结果:8例患者中2例为胰十二指肠切除术;5例为胰腺近断端缝合,远断端与空肠做Roux-en-Y形吻合;1例为胰尾部切除。全部病例均治愈,无死亡病例。结论:用胰十二指肠切除术;胰腺近断端缝合,远断端与空肠Roux-en-Y形吻合;胰尾部切除治疗胰腺断裂伤患者可获得满意的效果,值得临床推广运用。

Objective： To explore the experience in surgical treatment of closed abdominal traumatic pancreatic rupture.Methods： The clinical data of 8 traumatic pancreatic rupture cases were retrospectively analyzed.Results： The types of surgical procedure for 8 cases included 2 cases of pancreaticoduodenectomy,5 cases of proximal pancreatic close plus distal Roux-en-Y pancreaticojejunostomy,1 case of distal pancreatectomy.All patients were successful cured.Conclusion： Surgical treatment is important for closed abdominal traumatic pancreatic rupture.The surgical management should be individualized depending on the site of the injury.