持续腹腔冲洗加生长抑素治疗胰十二指肠切除术后胰瘘

Investigation on effectiveness of persistent peritoneal lavage and somatostatin in the treatment of pancreatic fistula after pancreaticoduodenectomy

目的探讨持续腹腔冲洗及生长抑素在治疗胰十二指肠切除术后胰瘘中的效果。方法 2007年1月～2012年1月期间,对16例胰十二指肠切除术后发生胰瘘患者行双套管持续腹腔冲洗,并予生长抑素静脉使用。结果全组病人的胰瘘均治愈,未出现腹腔脓肿、腹壁外瘘、脓毒血症及出血等明显并发症。结论持续腹腔冲洗及生长抑素静脉使用,是治疗胰瘘的有效方法。

Objective To investigate the effectiveness of persistent peritoneal lavage and soma- tostatin in the treatment of pancreatic fistula after pancreaticoduodenectomy. Methods From January, 2007 to January, 2012, sixteen patients were diagnozed for pancreatic fistula after pancreaticoduodenec- tomy, and treated with persistent peritoneal lavage and somatostatin. Results All patients recovered from pancreatic fistula by our treatment, without severe complications such as peritoneal abscess, extra fistula, pyemia and hemorrhage. Conclusions Persistent peritoneal lavage and use of somatostatin is an effective method in the treatment of pancreatic fistula after pancreaticoduodenectomy.