胰肠吻合术后胰瘘的危险因素分析与防治策略.pdfVIP

中文摘要 直径及吻合方法有明显关系。 结论 胰管直径3ram为胰肠吻合术术后胰瘘发生的危险因素，其相对危险度(1m) 为7．48，胰腺质地软亦为胰肠吻合术术后胰瘘发生的危险因素，其相对危险度 (1狼)为4．13，而合理的处理胰腺残端和选择适当的吻合方式，能有效的降低 胰肠吻合术后胰瘘的发生率。胰肠吻合术中间断缝合容易发生胰瘘，Prolene线 连续缝合能降低胰瘘发生率，且操作简单易行。 关键词：胰肠吻合术；Prolene线；胰瘘；危险因素 Ⅱ TheRelatedonRiskFactorsandTreatmentofPancreatic FistulaaRer Pancreaticojunostomy ej Sun Postgraduate：Zhong Supervisor：Liu—shunFeng oftheFirstAffiliatedof Surgery Hospital DepartmentofHepatobiliary ZhengzhouUniversity Zhengzhou，Henan450052，China Abstract ive Object To theriskfactorsand of fistulaafter investigate managementpancreatic the andtreatment fistula。 Pancreaticojejunostomy．Analysisprevention ofpancreatic Methods i at Theclinialdataof20 whounderwent our patients Pancreaticojejunostomy to from 1999June2011 were factors hospitalAugust retrospectivelyanalyzed．Ten whichthe affecttheincidenceof fistula perioperativeperiodpotentially pancreatic were and withunivariatemultivariate analyzed regression logistic model．According to bilirubin albumin gender，age，preoperativelevel，preoperativelevels，pancreas， ofa tube