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中华普通外科学文献简介:中华普通外科学文献简介,中华普通外科学文献简介[详细]

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中华人民共和国国家卫生健康委员会
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中华医学会
承办:
中山大学附属第一医院
中山大学附属中山医院
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创刊时间: 2007年2月
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国际刊号: 1674-0793
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标题: 胰腺外伤40例的个体化诊治
摘要:

目的:探讨胰腺外伤的个体化处理措施。 方法:回顾性分析我院近10年来收治的40例胰腺外伤患者的资料。 结果:40例患者中12例行保守治疗,28例行手术治疗。其中行单纯手术引流6例,清创修补引流术11例,B超引导经皮穿刺置管引流3例,行胰尾或胰体尾切除术4例,右半肝+远端胰腺+脾切除1例,远端胰腺胃吻合+空肠造瘘1例,胰十二指肠切除1例,肝、胆总管、十二指肠、胰修补+胃及空肠造瘘1例。治愈38例,死亡2例,发生胰瘘4例,十二指肠漏1例。 结论:根据胰腺外伤的位置和程度,选择个体化的治疗方法是提高胰腺外伤治愈率的关键。B超引导下穿刺置管引流及胰胃吻合等方法提供了一种新的治疗思路。

英文摘要: Objective:To discuss the individual management for the injuries of pancreas. Method: Forty patients with injuries of pancreas treated during the last 10 years in our hospital, were analyzed retrospectively for the surgical treatment and their clinical results. Results:Twelve cases were treated by conservative treatment, and 28 cases were treated by operation. Simple closed suction drainage near the pancreatic bed was performed in 6 patients. Debridement, suture and closed suction drainage were performed in 11 patients. Ultrasound guided percutaneous catheter drainage was performed in 3 patients. Distal pancreatectomy was performed in 4 patients. Resection of the right side of the liver, the distal pancreas and the spleen was performed in 1 patient. Pancreaticogastrostomy and jejunum stoma were performed in 1 patient. Pancreatoduodenectomy was performed in 1 patient. Repair of the liver, the common bile duct, the duodenum, and the pancreas, combined with jejunum stoma and gastrostomy were performed in 1 patient. Thirty-eight patients were cured, and 2 patients died. Pancreatic fistula occurred in 4 cases. Conclusions:The principle of individualization is the key to improve the effect of treatment according to the characteristics of trauma. Ultrasound guided percutaneous catheter drainage and pancreaticogastrostomy provide a new way for the injuries of pancreas.
作者:

李清汉;甄作均;陈焕伟

作者单位: 佛山, 佛山市第一人民医院肝脏胰腺外科
期刊: 中华普通外科学文献(电子版)
年.卷(期):页码 2011 .5(3):223-226
中图分类号:
文章编号:
引用格式: [1]李清汉;甄作均;陈焕伟.胰腺外伤40例的个体化诊治[J/CD].中华普通外科学文献(电子版),2011,5(3):223-226.
关键词: 腹部损伤 胰腺 治疗 胰腺瘘
英文关键词: Abdominal injuries;Pancreas;Treatment;Pancreatic fistula

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