胰十二指肠切除术后腹腔感染发生的影响因素

Influencing factors of intra-abdominal infectious complications after pancreatoduodenectomy

目的 探讨胰十二指肠切除术 (PD )术后腹部并发症发生率及其有关因素。方法 对近 7年来 196例施行PD患者腹部并发症发生的有关因素进行回顾性分析。结果 腹腔感染的发生率明显高于其他并发症。胰腺残端硬度接近正常或中等者 ,或有肺部感染者 ,其腹腔感染率明显高于胰腺质地较硬者及无肺部感染者 (均为 P <0 .0 1)。结论 腹腔感染与胰腺残端质地、有无肺部感染有明显关系。应重视术中残胰质地的判断 ,积极防治肺部并发症 ,以尽量避免腹腔感染的发生。

Objective To investegate the influencing factors of intra-abdominal infectious complications after pancreatoduodenectomy(PD). Methods The postoperative intra-abdominal infectious complications occurrence rate and the influencing factors after PD in 196 patients in recent 7 years were retrospectively analyzed.Results After PD,the rate of postoperative intra-abdominal infections was significantly higher than the rate of other complications. The rate of intra-abdominal infections in patients with near normal pancreatic remnent and with pulmonary infections were significantly higher than those in with harder pancreatic remnant and without pulmonary infections(P<0.01). Conclusions The pancreatic remnant texture and pulmonary infections are the significant influencing factors of intra-abdominal infections after PD.So attention should be paid to consider the condition of pancreatic parenchyma,and prevent and cure pulmonary infections to avoid the occurrence of intra-abdominal infections as possible.