摘要
目的 探讨“两点法”胰肠吻合方式在胰十二指肠切除术中应用效果.方法 选取2017年11月-2019年3月60例胰十二指肠切除术患者为研究对象并进行回顾性研究,根据手术方式不同将受试者分为对照组和研究组各30例.对照组患者接受捆绑式胰肠吻合方式,观察组患者接受“两点法”胰肠吻合方式,比较两组患者的手术情况及胰瘘发生率.结果 研究组患者术中出血量、胰肠吻合时间及住院时间均显著少于对照组(P<0.05),胰瘘总发生率亦显著低于对照组(P<0.05).结论 “两点法”胰肠吻合方式术中出血量少,可有效缩短胰肠吻合时间及住院时间,减少胰瘘发生率,在胰十二指肠切除术中有较高应用价值.
Objective To investigate the effects of pancreaticojejunostomy by two-point method in pancreatico-duodenectomy.Methods From November 2017 to March 2019, 60 patients undergoing pancreaticoduodenectomy were selected and retrospectively studied.According to surgery methods, the patients were divided into control group(n=30) and observation group(n=30).The control group received bundle-invagination pancreaticojejunostomy and the observation group received pancreaticoenterostomy by two-point method.The surgical conditions and the incidence of pancreatic fistula were compared between the two groups.Results The intraoperative blood loss, time of pancreaticoenteric anastomosis, and hospitalization time of the observation group were significantly less than those of the control group(P<0.05).The total incidence rate of pancreatic fistula of the observation group was significantly lower than that of the control group(P<0.05).Conclusion Pancreaticoenterostomy by two-point method can effectively shorten the time of pancreaticoenteric anastomosis and hospitalization, reduce the incidence of pancreatic fistula with less bleeding, thus has high application value in pancreaticoduodenectomy.
作者
高峰畏
雷泽华
龚杰
蒋康怡
谢青云
GAO Fengwei;LEI Zehua;GONG Jie;JIANG Kangyi;XIE Qingyun(Department of Hepatological Surgery,The People's Hospital of Leshan,Leshan 614000,China)
出处
《外科研究与新技术》
2019年第3期151-153,共3页
Surgical Research and New Technique
关键词
"两点法"胰肠吻合方式
胰十二指肠切除术
胰肠吻合时间
胰瘘
Pancreaticoenterostomy by two-point method
Pancreaticoduodenectomy
Pancreaticoenteric anastomosis time
Pancreatic fistula