摘要
目的 探讨采用胰胃吻合的方式行胰十二指肠切除术中胰瘘的发生率。方法 回顾性总结了采用胰胃吻合方式重建消化道的 5 8例因胰腺疾病而行胰十二指肠切除术的病例。结果 5 8例病人中发生胰瘘 1例 ,发生率 1 7%。术后测胃液中的淀粉酶最低值为 860U/L ,大便常规未见脂肪滴及未经消化的动物肌纤维 ,血糖在 4 5～ 6 7mmol/L ,说明胰腺内外分泌功能正常。术后 5～ 7天 ,如测腹腔引流液中淀粉酶含量超过 15 0 0U/L时 ,有助于早期诊断胰瘘的发生。结论 胰胃吻合简单易行 。
Objective To study the incidence of pancreatic fistula with the pancreaticogastrostomy after pancreaticoduodenectomy.Methods 58 cases with pancreaticoduodenectomy (PD) from Jan.1992 to Nov.1999.All of them had been operated on with pancreaticogastrostomy (PG).Results The incidence of pancreatic fistula was 1.7%(1/58);postoperative amylase in the gastric juice was 860 U/L (the lowest),no lipid and undigested animal fiber could be found in stools,serum glucose was 4.5～6.7 mmol/L,so the exocrine and endocrine of the pancreas was normal. It is helpful to diagnose pancreatic fistula early,if the serum amylase is above 1500U/L in the dranage 5～7 days after operation.Conclusions pancreaticogastrostomy is very easy to practice and it may decrease the incidence of pancreatic fistula after pancreaticoduodenectomy.
出处
《河南肿瘤学杂志》
2002年第1期26-28,共3页
Henan Journal of Oncology
关键词
胰十二指肠切除术
胰胃吻合
胰瘘
临床作用
pancreaticoduodenectomy
pancreaticogastrostomy
pancreatic fistula
