【摘要】 目的:总结创伤性胰腺外伤的诊断及治疗经验。方法:对本院2004年1月至2014年12月收治的45例胰腺外伤患者的临床资料进行回顾性分析。结果:根据美国创伤外科协会(American Association for the Surgery of Trauma,AAST)胰腺损伤分级,本组45例中,Ⅰ级损伤13例,Ⅱ级损伤12例,Ⅲ级损伤9例,Ⅳ级损伤6例,V级损伤5例。保守治疗9例,手术治疗36例。胰腺清创缝合引流16例,胰体尾切除9例,胰腺头断端包埋、远端胰腺空肠Roux-Y吻合术6例,十二指肠憩室化术3例,胰十二指肠切除术2例。治愈42例,死亡3例。并发胰漏6例,胰腺假性囊肿7例,并发炎性肠梗阻3例。结论:胰腺损伤的治疗要根据具体伤情来决定手术方式。对于严重的胰腺损伤,要遵循损伤控制性手术的原则,术后充分引流是预防术后并发症的关键。更多还原

【Abstract】 Objective: To summarize the experience in diagnosis and treatment of traumatic pancreatic injury.Methods:Clinical data about 45 patients with pancreatic injury admitted to our hospital from January 2004 to December 2014 were retrospectively analyzed.Results:of the 45 traumatic pancreatic injury patients, 13 were classified as gradeⅠinjury,12 as gradeⅡinjury,9 as grade Ⅲ injury,6 as grade Ⅳ injury and 5 as gradeⅤ injury according to the AAST classification.Of these patients,9 underwent conservative treatment and 36 underwent surgical treatment.16 underwent pancreatic injury repair and drainage,9 distal pancrea resection,6 Roux-Y pancraticojejunosomy,2 pancreatoduodenectomy.Of the 45 patients,42 were cured,3 died.pancreatic fistula in 6,pancreatic pseudocyst in 7,Inflammatory intestinal obstruction in 3.Conclusion:Surgical procedure for the treatment of pancreatic injury should be decided according to its specific condition.Damage-control procedure should be performed for severe pancreatic injury.Sufficient postoperative drainage is the key to the prevention of complications after operation.更多还原