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[1]曾 丽,曾 彬.胰胃吻合术与胰肠吻合术临床疗效的比较[J].医学研究与战创伤救治(原医学研究生学报),2016,18(01):59-61,79.[doi:10.3969/j.issn.1672-271X.2016.01.018]
　ZENG Li,ZENG Bin..The comparison of application value between pancreatic anastomosis and pancreaticojejunostomy in pancreatic resection[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(01):59-61,79.[doi:10.3969/j.issn.1672-271X.2016.01.018]
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胰胃吻合术与胰肠吻合术临床疗效的比较()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年01期
页码:
59-61,79
栏目:
出版日期:
2016-01-20

文章信息/Info

Title:
The comparison of application value between pancreatic anastomosis and pancreaticojejunostomy in pancreatic resection
作者:
曾 丽1; 曾 彬2
1. 442000 湖北十堰,十堰市太和医院（湖北医药学院附属医院）疼痛科;
2. 442000 湖北十堰,湖北医药学院附属东风医院消化内镜室
Author(s):
ZENG Li1;  ZENG Bin2.
1. Department of Pain, the Affiliated Taihe Hospital of Hubei Medical College, Shiyan, Hubei 442000, China;
2. Department of Digestive endoscopy, the Affiliated Dongfeng Hospital of Hubei Medical College, Shiyan, Hubei 442000, China
关键词:
胰胃吻合; 胰肠吻合; 胰十二指肠切除术; 并发症
Keywords:
pancreatic anastomosis;  pancreaticojejunostomy;  pancreaticoduodenectomy;  complication
分类号:
R619
DOI:
10.3969/j.issn.1672-271X.2016.01.018
文献标志码:
A
摘要:
目的 比较胰十二指肠切除术胰胃吻合与胰肠吻合术的临床疗效。方法 2010年8月-2015年1月选择在某院进行胰十二指肠切除术78例，根据随机数字表法分为胰胃 吻合组与胰肠吻合组各39例，胰胃吻合组施行捆绑式胰胃吻合术治疗，胰肠吻合组施行捆绑式胰肠吻合术治疗。结果 胰胃吻合组的胰胃吻合手术时间明显少于胰肠吻合组的胰肠 吻合手术时间(P<0.05)，两组的手术时间、术中出血量和术中输血量对比差异无统计学意义(P＞0.05)。胰胃吻合组的术后肛门排气时间、拔除胃管时间、进食半流质时间和住院时 间明显少于胰肠吻合组(P<0.05)。胰胃吻合组术后胃排空障碍、切口感染、胰漏、胆漏、消化道溃疡出血等并发症发生情况明显少于胰肠吻合组(P<0.05)。结论 相对于胰肠吻合 ，胰胃吻合具有简单方便的特点，能促进患者的术后康复，能减少术后并发症的发生，对改善患者预后有明显帮助。
Abstract:
Objective To compare the application value of pancreatic anastomosis and pancreaticojejunostomy in pancreatic resection. Methods 78 cases performed with resection of pancreas and duodenum were randomly divided into pancreatic anastomosis group (39 cases) and pancreaticojejunostomy group (39 cases) from August 2010 to January 2015 in our hospital. The pancreatic anastomosis group received bundled pancreas intestinal anastomosis treatment, and the pancreaticojejunostomy group received bundled pancreatic anastomosis treatment. Results The pancreas anastomosis time in the pancreatic anastomosis group was significantly less than in the pancreaticojejunostomy group (P<0.05). The operative time, blood loss and blood transfusion compared in the two groups were not significant different (P>0.05). The postoperative anal exhaust time, tube removal time, eating semi-liquid time and hospital stay in the pancreatic anastomosis group were significantly less than in the pancreaticojejunostomy group (P<0.05). The postoperative delayed gastric emptying, wound infection, pancreatic leak, bile leakage, gastrointestinal ulcers and bleeding complications in the pancreatic anastomosis group were significantly less than in the pancreaticojejunostomy group (P<0.05). Conclusion Compared with pancreaticojejunostomy, pancreatic duodenal resection anastomosis has simple and convenient features, and can promote the rehabilitation of patients after surgery and reduce the incidence of postoperative complications, so as to improve the prognosis of patients.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2016-01-20