摘要
目的探讨十二指肠损伤的诊断与术式选择。方法回顾分析 3 7例十二指肠损伤的临床资料。结果术前确诊 4例 ,术中确诊 3 1例 ,漏诊 2例。行十二指肠修补或吻合 (包括空肠十二指肠 Roux-en-Y吻合 6例 )加胃造瘘或胃空肠双管造瘘术 3 6例 ( 97.3 % ) ;胰十二指肠切除术 1例 ( 2 .7% )。治愈 3 6例 ( 97.3 % ) ,死亡 1例 ( 2 .7% )。结论修补或吻合加双管造瘘法是治疗十二指肠损伤的一种易于掌握 ,操作简单 ,符合生理要求 ,并发症也少的术式。
Objective To explore the diagnosis and choice of the treatment of duodenal injury.Methods The clinical data of 37 patients with duodenal injury were retrospectively analyzed.Results Of 37 cases,4 patients were diagnosed preoperatively,31 were diagnosed in operation,2 were missed.of them,36 cases(97.3%)had repair of ruptured duodenum,duodenoduodenostomy(including Roux en Y) duodenojejunostomy plus gastrostomy or gastrojejunostomy,1(2.7%) had duodenopancreatectomy.36(97.3%)cases were cured while 1(2.7%) died.Conclusion Repair of duodenum or duodenojunostomy plus gastrojejunostomy is simple to carry out,meeting physiological requirements and producing less complications.
出处
《中国综合临床》
北大核心
2002年第12期1115-1116,共2页
Clinical Medicine of China
