【摘要】 目的:探讨胃癌根治术后胰漏的诊治方法。方法:对近4年430例行胃癌根治术病例资料进行回顾分析,探讨胰漏诊断、治疗方法以及转归情况。结果:胃癌根治术后共发生胰漏19例,发生率为4.42%,其中临床胰漏9例(2.09%),生化胰漏10例(2.32%)。19例胰漏经非手术治疗均痊愈。结论:监测术后引流液淀粉酶可及时诊断胃癌术后胰漏。保持引流通畅,选用广谱抗生素及应用胰酶分泌抑制剂可有效治疗胰漏。更多还原

【Abstract】 Objective:To explore the treatment and diagnosis of postoperative pancreatic leakage.Methods:The study retrospectively reviewed 430 patients with radical resection of gastric cancer,explored the diagnosis,treatment and prognosis of postoperative pancreatic leakage.Results:Nineteen postoperative pancreatic leakage cases(4.42%),including 9 clinical pancreatic leakage cases(2.09%),and 10 biochemical pancreatic leakage cases(2.32%).All the 19 patients are treated conservatively,and the results were satisfactory.Conclusion:By increased amylase value of drained intra-abdominal fluid after radical resection of gastric cancer,pancreatic leakage may be diagnosed in an early stage effectively.Keeping abdominal drainage unobstructed,using broad-spectrum antibiotic and inhibiting pancreatic enzyme secretion can cure pancreatic leakage effectively.更多还原