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非手术治疗胰外瘘的体会:附18例报告 被引量:3

Clinlcal application of non-operative management in the treatment of external pancreatic fistula:a report of 18 cases
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摘要 目的 探讨非手术治疗胰外瘘的价值。方法 回顾分析 6年间 18例胰外瘘患者行非手术治疗的临床资料 ,分别分析其发病原因、非手术患者的选择标准、非手术治疗方法 ,以及治疗后患者胰外瘘量的改变。结果  18例经非手术治疗后 ,胰液引流量逐渐减少 ,在 1~ 8个月内愈合 ,平均愈合时间 5 .5个月。拔除引流后无复发。除 4例患者出现胰腺假性囊肿外无其他并发症发生。结论 非手术治疗方法治疗胰外瘘可以相对减轻患者痛苦 ,临床可根据情况选择。 Objective To explore the effect of non-operative management in the treatment of external pancreatic fistula(EPF). Methods 18 cases of EPF underwent non-operative treatment were analyzed retrospectively . The causes of EPF, the criteria of case selection were summarized respectively. the non- operative treatments methods and the change of drainage volume after the treatment were analyzed.Results After the non-operative treatment,the drainage volume reduced gradually,and all the 18 cases were curred in 1 to 8 (averaged 5.5) months.No recurrence happened after the drainage withdrawn.There were no other severe complications except 4 pancreatic pseudocysts formation. Conclusions Non-operative treatment plays an important role in the treatment of EPF.It could reduce patients' sufferings.The choice of the method should be according to patients' condition.
作者 金平 王建华
出处 《中国普通外科杂志》 CAS CSCD 2003年第9期688-690,共3页 China Journal of General Surgery
关键词 胰外瘘/治疗 胰腺疾病/外科学 手术后并发症 EXTERNAL PANCREATIC HSTULA/ther PANCREAS DISEASES/surg POSTOPERATIVE COMPLICATIONS
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  • 1徐彬,楼文晖,王单松,牛耿明,陆嘉,靳大勇.胰腺术后引流液监测诊断胰漏的价值[J].中国实用外科杂志,2007,27(2):147-149. 被引量:25
  • 2Cullen JJ, Sarr MG, Ilstrup DM. Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance, and management[J]. Am J Surg,1994,168(4):295- 298.
  • 3Bonenkamp J J, Songun I, Hermans J, et al. Randomised comparison of morbidity after D1 and D2 dissection for gastric cancer in 996 Dutch patients[J]. Lancet,1995,345 (8952):745-748.
  • 4Ichikawa D, Kurioka H, Yamaguchi T, et al. Postoperative complications following gastrectomy for gastric cancer during the last decade [J]. Hepatogastroenterology, 2004,51 (56):613 -617.
  • 5Furukawa H, Hiratsuka M, Ishikawa O, et al. Total gastrectonly with dissection of lymph nodes along the splenic artery: a pancreas-preserving method[J]. Ann Surg Oncol, 2000,7(9):669-673.
  • 6Sano T, Sasako M, Katai H, et al. Amylase concentration of drainage fluid after total gastrectomy [J]. Br J Surg, 1997,84(9):1310-1312.
  • 7Howard TJ, Stonerock CE, Sarkar J, et al. Contemporary treatment strategies for external pancreatic fistulas [J]. Surgery, 1998,124(4) :627 -632.
  • 8Alghamdi AA, Jawas AM, Hart RS. Use of octreotide for the prevention of pancreatic fistula after elective pancreatic surgery: a systematic review and meta-analysis [J]. Can J Surg,2007,50(6):459-466.
  • 9Howard TJ,Stonerock CE,Sarkar J,et al.Contemporary treatment strategies for extermal pancreatic fistulas [J].Surgery,1998,124(4):627-632.
  • 10Moore EE, Cogbill TH, Malangoni MA, et al. Organ injury scaling, Ⅱ, pancreas, duodenum [ M ]. In : (eds) Blaidell FW, Trunky DD. Trauma management, abdominal trauma. New York : Thieme Stratton, 1991.6.

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