【摘要】 目的探讨十二指肠损伤的术式与术后效果,以期提高疗效、减少并发症。方法对1980年～2006年42例十二指肠损伤患者临床资料进行总结,以术后并发症发生率及病死率为判断标准。结果术后总的治愈率、并发症发生率及病死率分别为76.2%、31.0%、16.7%,十二指肠-空肠Roux-Y吻合术式分别为93.3%、13.3%、6.7%,效果最好。结论十二指肠损伤后,以十二指肠-空肠Roux-Y吻合术式效果较好,其次为十二指肠憩室化手术,十二指肠单纯缝合和(或)造瘘术,对于较小的损伤仍有其应用价值。更多还原

【Abstract】 Objective To find the relation between selection of operation methods and the results. Methods We reviewed 42 cases of duodenal injury identified by operation from 1980 to 2006.The results were judged by post-operation complication and mortality rate. Results The general cure rate,complication rate and death rate were 76.2%,31.0%,and 16.7%,respectively. As for the cases of duodenum-jejunum Roux-Y anastonosis,whose results were the best,they were 93.3%,13.3%and 6.7%,respectively.Conclusion Duodenum-jejunum Roux-Y anastonosis is the best choice for duodenum injury,duodenal diverticulumizing is the second choice. Merely suturing the injuried duodenum or duodenal fistulation can be used only where the injury was minor.更多还原