胰腺移植手术方式研究进展
Progress in surgery of pancreas transplantation
摘要
糖尿病患者晚期并发糖尿病肾病、糖尿病神经病变、糖尿病视网膜病变等,造成患者致残、致死。在糖尿病的所有治疗手段中,胰腺移植分泌胰岛素及胰高血糖素的模式最接近于生理,可长期稳定地控制血糖,尽量减少血糖波动,在一定程度上能延缓或改善糖尿病晚期并发症的发生。美国明尼苏达州立大学的Kelly和Lillehei早在1966年就开展了世界上第1例胰腺移植手术,经过数十年的的发展,目前该手术已被美国糖尿病协会接受为1型糖尿病合并终末期肾病(ESRD)的标准治疗。本文就胰腺移植主要手术方式、手术过程进行综述,探讨胰腺移植手术中供胰的修整及内、外分泌的引流方式的处理。
出处
《局解手术学杂志》
2013年第5期537-539,共3页
Journal of Regional Anatomy and Operative Surgery
基金
重庆市科技攻关计划项目(cstc2012gg-yyjs10041)
参考文献15
-
1Gruessner AC, Sutherland DE, Gruessner RW. Long-term outcome after pancreas transplantation [ J ]. Curr Opin Organ Transplant, 2012, 17 (1) :100-105.
-
2Pintilie DG,Zamfir CL,Paduraru D, et al. Characteristics of anastomoses between the celiac trunk and the superior mesenteric artery [ J] Rev Med Chir Soc Med Nat Iasi,2003,107 (4) :826 - 830.
-
3Li JQ, He ZJ,Si ZZ,et. al. Gastroduodenal arterial reconstruction of the pancreaticoduodenal pllograft [J]. Transplantat Proc, 2011,43 ( 10 ) : 3905 - 3907.
-
4Socci C, Orsenigo E, Zuber V, et al. Triple arterial reconstruction improves vaseularization of whole ppncreas for transplantation [J]. Transplant Proe ,2006 ,38 (4) : 1158 - 1159.
-
5Cook K, Sollinger HW, Warner T, et al. Pancreaticocystostomy : an alternative method for exocrine drainage of segmental pancreatic allografts [J]. Transplantation, 1983,35 (6) :634 - 636.
-
6van de Linde P, van der Boog PJ, Baranski, AG, et al. Pancreas transplantation : advantages of both enteric and bladder drainage combined in a two-step approach [J]. Clin Transplant,2006,20 ( 2 ) : 253 - 257.
-
7Gruessner AC. 2011 update on pancreas transplantation:comprehensive trend analysis of 25,000 cases followed up over the course of twenty- four years at the International Pancreas Transplant Registry (IPTR) [J]. Rev Diabet Stud,2011,8 ( 1 ) :6 - 16.
-
8Jimenez Romero C, Manrique A, Meneu JC, et al. Compative study of bladder versus enteric drainage in pancreas transplantation [J]. Transplant Proc,2009,41 (6) : 2466 - 2468.
-
9Adamec M, Janousek L, Lipar K, et al. A prospective comparison of bladder versus enteric drainage in vascularized pancreas transplantation [J]. T plant P 2004,36 ( 5 ): 1524 - 1525.
-
10Kornberg A, Ktipper B, Barthel E, et al. Combined en-bloc liver-pan- creas transplantation in patients with liver cirrhosis and insulin-dependent type 2 diabetes mellitus [ J ]. Transplantation, 2009,87 ( 4 ) : 542 - 545.
-
1孙德强.胰腺移植[J].国外医学(外科学分册),2002,29(2):92-93.
-
2刘艳.51例糖尿病肾病患者的护理体会[J].养生保健指南(医药研究),2016,0(5):45-45.
-
3姜玉平.糖尿病肾病42例临床分析[J].医学临床研究,2006,23(2):281-282. 被引量:1
-
4张有祥,马飞.2型糖尿病并发糖尿病肾病20例临床分析[J].中国煤炭工业医学杂志,2000,3(2):141-141.
-
5陈新.老年糖尿病患者胆结石发病临床观察[J].中国误诊学杂志,2005,5(2):293-293. 被引量:2
-
6王斌,米琨,刘武,李玉文.内窥镜与开放手术治疗腕管综合征疗效比较[J].广西中医学院学报,2010,13(4):33-34. 被引量:1
-
7练乐尧,徐泽宽.胰腺移植胰液引流方式的演变及进展[J].医学综述,2004,10(2):105-107.
-
8史其林,薛峰,王金武,顾玉东.腕管综合征在内窥镜视下手术与常规手术的疗效比较[J].中华手外科杂志,2000,16(3):152-155. 被引量:72
-
9曹志强,刘龙.胰腺移植对糖尿病并发症的长期效果[J].沈阳部队医药,2003,16(5):430-431.
-
10吉翠琴.糖尿病神经病变的临床观察[J].中国社区医师(医学专业),2009,11(3):15-15.