保留脾血管的胰体尾切除术对胰体尾良性病变临床疗效、并发症及生活质量的影响

Clinical Curative Effect,Complication and Quality of Life Analysis of the Pancreatic-tail Resection with Splenic Vessels on Pancreatic-tail Benign Lesion

目的:分析胰体尾良性病变行保留脾血管的胰体尾切除术(SPDP)的疗效、并发症及生活质量。方法:选取2015年5月-2017年5月在笔者所在医院接受胰体尾切除术治疗的128例胰体尾良性病变患者,按手术方案不同分两组,每组64例,对照组行切除脾血管SPDP术,观察组行保留血管的SPDP术,比较组间手术指标及并发症、生活质量。结果:观察组手术时间(258.54±27.31)min,比对照组长,术中出血量(161.42±30.01)ml、血小板计数(213.41±48.03)×10~9/L,均比对照组少,住院时间(13.52±2.41)d,比对照组短(P<0.01);观察组术后并发症发生率3.13%,比对照组的12.50%低(P<0.05);观察组随访1个月后的躯体功能(74.75±3.32)分、情感功能(72.03±8.99)分、精神状态(72.22±8.80)分及总体健康(76.29±8.47)分,均比对照组优(P<0.01)。结论:胰体尾良性病变行保留脾血管的胰体尾切除术有利于脾脏血供、功能的保留,预防术后并发症,改善患者生活质量,安全可行。

Objective： To analyze the curative effect, complication and quality of life of pancreatic-tail resection with splenic vessels retained on pancreatic-tail benign lesion.Method： The clinical data of 128 patients with pancreatic-tail benign lesion were selected from May 2015 to May 2017.The patients were divided into two groups according to the surgical procedure.The control group was treated with the SPDP technique and splenic vessels resection, the observation group was used the SPDP with the splenic vessels, and the surgical indexes and complications and quality of life were compared between the two groups.Result： The operative time （258.54 ± 27.31）min was longer than that of the control group, the amount of bleeding was （161.42 ± 30.01）ml and the platelet count was （213.41 ± 48.03）×10^9/L, they were shorter than those of the control group, the hospital stay was （13.52 ± 2.41）d, was shorter than thai of the control group（P〈0.01）.The incidence of postoperative complications was 3.13%, it was lower than that of the control group（P〈0.05）.After 1 month follow-up, the body function was （74.75 ± 3.32）scores, emotion function was （72.03 ± 8.99）scores, the mental state was （72.22 ± 8.80）scores and the overall health was （76.29± 8.47）scores, they were significandy higher than those in the control group（P〈0.01）.Condusion ： Pancreatic-tail resection with the splenic vessels on pancreatic-tail benign lesion is beneficial to the blood supply and function of the spleen.h is safe and feasible to prevent the postoperative complications and improve the quality of life.