【摘要】 目的:探讨十二指肠损伤的外科治疗手术方式及效果。方法:回顾分析1998年3月—2008年3月手术治疗的35例十二指肠损伤患者的临床资料。结果:十二指肠损伤术前诊断率低,为17.1%(6/35);合并其他脏器损伤率高,占71.4%(25/35)。手术方式:单纯修补造瘘10例,端端吻合或与空肠侧侧吻合3例,十二指肠空肠Roux-en-Y吻合3例,浆膜覆盖及带蒂空肠片移植修补8例,十二指肠憩室化手术8例,胰十二指肠切除3例。十二肠损伤术后并发症发生率及死亡率较高,本组死亡5例(14.3%)。结论:十二指肠损伤的外科处理关键应根据其损伤情况综合判断,选择合理术式及治疗策略。更多还原

【Abstract】 Objective:To discuss the surgical manners and effects of duodenal injuries.Methods:Retrospectively analyze 35 duodenal injuries who received surgical treatments from March 1998 to March 2008 in our department.Results:The diagnosis rate of duodenal injury preoperatively was low to 17.1%(6 patients),and the incidence rate of associated injury was high to 74.1%(25 patients).The surgical procedure of ten patients was simply neoplasty and fistulation;three were end-to-end anastomosis or jejunal side-to-side anastomosis;three was Y-shaped Duodenojejunostomy;eight was serous membrane covering and pedicled jejunal slice grafting;eight was duodenal diverticularization;three was pancreaticoduodenectomy.The postoperative complications rate and mortality were high in duodenal injuries.Five patients were dead in our group(14.3%).Conclusions:The key point of the surgical therapy to duodenal injuries is judging comprehensively by the injury status and choosing the optimal surgical mannerand therapeutic strategy.更多还原