胰腺癌根治术胰肠吻合方式研究.pdfVIP

《现代仪器与医疗》 2014年  第20卷   第1期 论 著 胰腺癌根治术胰肠吻合方式研究 赵志强 （莱芜市人民医院普外科，山东　莱芜　271100 ） [ 摘　要 ]　目的 ：探讨胰腺癌根治术胰肠不同吻合方式对临床效果影响，以提高吻合质量。方 法 ：选取2010 年4 月至2013 年4 月收治的50 例胰腺癌患者为研究对象，平均分成2 组，均 予以胰十二指肠切除术，分别予捆绑式胰肠端端吻合和套入式胰肠端端吻合，观察2 组术中 及术后并发症等指标。结果 ：捆绑式吻合组并发症总发生率 12%，1、3、5 年生存率分别为 76%、48% 、16% ；套入式吻合组并发症总发生率20% ，1、3、5 年生存率分别为72%、52%、 20% ，2 组生存率比较差异无统计学意义（p0.05 ）。另外2 组在手术时间、术中出血量、输血 量、胰周引流液量、胰周引流液淀粉酶浓度、肛门排气时间、住院天数比较差异也无统计学意 义（p0.05 ）。结论 ：捆绑式和套入式端端吻合方式的临床效果相近，但捆绑式胰肠端端吻合总 体并发症低于套入式吻合。 [ 关键词 ]　胰腺癌根治术；吻合方式；临床效果 中图分类号：R657.6 R735.9　文献标识码：A　文章编号：2055-5200(2014)01-013-04 Doi:10.11876/mimt201401004 Clinical Analysis on Different Anastomotic Methods of Pancreatic Cancer Radical Mastectomy ZHAO Zhi-qiang. Department of general surgical Laiwu city people’s 　 （ ， hospital Laiwu 271100 ， ） [Abstract]　Objective: To observe the influence of different anastomotic methods of pancreatic cancer radical mastectomy on clinical effect, for finding the best anastomotic method and improving the clinical effect. Methods: 50 cases with pancreatic cancer from April 2010 to April 2013 were selected as the research objects and divided into two groups averagely. The patients were treated with pancreas duodenum resection, one group was treated with tied end-to-end anastomosis, and the other group was treated with nested end-to-end anastomosis. The postoperative complications of two groups was observed. Results: The total incidence rate of complications in the tied end-to-end anastomosis group was 12%, and the survival rate of 1 year, 3 years and 5 years was 76%, 48% and 16%. The total incidence rate of complications in the nested end-to-end anastomosis group was 20%, and the survival rate of 1 year, 3 years and 5 years was 72%, 52% and 20%. The difference between two groups had not statistical significance p0.05 . The