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Blumgart吻合在胰十二指肠切除术后胰瘘防治中的作用

潘超 席鹏程 侍作亮 卞建民 杨坤兴 刘子君 倪绍忠 杨士勇 时开网

潘超, 席鹏程, 侍作亮, 卞建民, 杨坤兴, 刘子君, 倪绍忠, 杨士勇, 时开网. Blumgart吻合在胰十二指肠切除术后胰瘘防治中的作用[J]. 临床肝胆病杂志, 2016, 32(2): 333-336. DOI: 10.3969/j.issn.1001-5256.2016.02.028
引用本文: 潘超, 席鹏程, 侍作亮, 卞建民, 杨坤兴, 刘子君, 倪绍忠, 杨士勇, 时开网. Blumgart吻合在胰十二指肠切除术后胰瘘防治中的作用[J]. 临床肝胆病杂志, 2016, 32(2): 333-336. DOI: 10.3969/j.issn.1001-5256.2016.02.028
Pan Chao, Xi PengCheng, Shi ZuoLiang, Bian JianMin, Yang KunXing, Liu ZiJun, Ni ShaoZhong, Yang ShiYong, Shi KaiWang. Effect of Blumgart anastomosis in prevention and treatment of pancreatic fistula after pancreaticoduodenectomy[J]. J Clin Hepatol, 2016, 32(2): 333-336. DOI: 10.3969/j.issn.1001-5256.2016.02.028
Citation: Pan Chao, Xi PengCheng, Shi ZuoLiang, Bian JianMin, Yang KunXing, Liu ZiJun, Ni ShaoZhong, Yang ShiYong, Shi KaiWang. Effect of Blumgart anastomosis in prevention and treatment of pancreatic fistula after pancreaticoduodenectomy[J]. J Clin Hepatol, 2016, 32(2): 333-336. DOI: 10.3969/j.issn.1001-5256.2016.02.028

Blumgart吻合在胰十二指肠切除术后胰瘘防治中的作用

DOI: 10.3969/j.issn.1001-5256.2016.02.028
详细信息
  • 中图分类号: R657.5

Effect of Blumgart anastomosis in prevention and treatment of pancreatic fistula after pancreaticoduodenectomy

  • 摘要: 目的评价Blumgart吻合方法对胰十二指肠切除术后胰瘘及其他并发症发生的影响。方法回顾南京医科大学附属南京医院2005年1月-2011年12月实施胰十二指肠切除术的190例患者的临床资料。将患者按照不同的吻合方式为3组:Blumgart吻合组(A组)55例,胰管空肠黏膜端侧吻合组(B组)65例,套入式吻合组(C组)70例。比较不同吻合方法术后胰瘘及其他并发症的发生率。各组并发症发生率的比较采用行×列χ2检验。结果全部患者均无围手术期死亡,术后并发症发生率为48.4%(92/190),其中A组为25.5%(14/55),B组为52.3%(34/65),C组为62.9%(44/70),3组比较差异有统计学意义(χ2=17.850,P<0.05)。术后胰瘘发生率20.5%(39/190),其中A组为5.5%(3/55),B组为20%(13/65),C组为32.9%(23/70)。在胰管内径<3 mm的患者中,不同吻合方式的患者胰瘘发生率差异有统计学意义(χ2=6.089,P<0.05),在≥3mm的患者时,不同吻合方式患者胰瘘的发生率差异无统计学意义(χ2=5.436,P...

     

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出版历程
  • 收稿日期:  2015-07-22
  • 出版日期:  2016-02-20
  • 刊出日期:  2016-02-20
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