【摘要】 目的探讨改良胰空肠端端吻合术对胰十二指肠切除术后胰瘘发生率的影响。方法回顾分析施行胰十二指肠切除术71例的临床资料,比较不同胰空肠吻合方法的胰瘘发生率。结果胰瘘总发生率为18.3%(13/71);改良胰空肠端端吻合术后无胰瘘发生(0/22);传统胰空肠端端吻合术后胰瘘发生率为27.6%(8/29);胰空肠端侧吻合术后胰瘘发生率为25.0%(5/20)。改良胰空肠吻合术后胰瘘发生率显著低于传统端端吻合(P<0.05)和端侧吻合(P<0.05),而端端吻合和端侧吻合术后胰瘘发生率无统计学差异(P>0.05)。结论改良胰空肠端端吻合术能显著降低胰十二指肠切除术后的胰瘘发生率。更多还原

【Abstract】 Objective To evaluate the influence of an improved end-to-end pancreaticojejunostomy on the occurrence of pancreatic fistula after pancreaticoduodenectomy(PD).Methods We retrospectively analysied 71 cases of pancreaticoduodenectomy and compared the occrrence rate of pancreatic fistula between different types of pancreaticojejunostomy.Results The overall morbidity rate of pancreatic fistula was 18.3%(13/71).The occurrence rate of pancreatic fistula after improved end-to-end pancreaticojejunostomy(0%,0/22) was significantly lower than that of traditional end-to-end anastomosis(27.6%,8/29)(P<0.05) and that of end-to-side anastomosis(25%,5/20)(P<0.05),but there was no significant difference between traditional end-to-end anastomosis and end-to-side anastomosis(P>0.05).Conclusions This improved end-to-end pancreaticojejunostomy can significantly reduce the occurrence rate of pancreatic fistula after PD.更多还原