首 页   本刊简介  编委会  审稿专家  在线期刊  写作规范  广告合作  联系我们
您现在的位置:首页 => 在线期刊 => 2012年 8期 => 胰腺疾病 =>胰十二指肠切除术后胰瘘的多因素分..
胰十二指肠切除术后胰瘘的多因素分析
Risk factors of pancreatic fistula after pancreaticoduodenectomy
文章发布日期:2012年08月14日  来源:  作者:潘凡, 江艺, 张小进等  点击次数:2459次  下载次数:533次

调整字体大小:

(此处下载失败可以在在线预览处保存副本或者右键另存为)

【摘要】:目的探讨胰十二指肠切除术术后胰瘘发生的高危因素。方法回顾性分析4年间在南京军区福州总院肝胆外科行胰十二指肠切除术的87例患者的临床资料,分析可能与胰瘘有关的8个因素,进行单因素及逐步Logistic多因素分析。结果术后并发症发生率为356%(31/87),其中胰瘘9例,发生率为103%,占总并发症的290%。多因素Logistic回归分析表明术前总胆红素水平(TBil≥171 μmol/L)、胰腺质地软为胰瘘发生的独立危险因素。结论术前TBil水平(TBil≥171 μmol/L)和胰腺质地软预示着较高的胰瘘发生率。
【Abstract】:ObjectiveTo investigate the risk factors of developing pancreatic fistula after pancreaticoduodenectomy. MethodsEighty-five patients who underwent pancreaticoduodenectomy in the Department of Hepatobiliary Surgery of Fuzhou General Hospital between January 2008 and February 2012 were studied. The management strategy and outcome, including pancreatic fistula, were evaluated. Eight potential risk factors for formation of pancreatic fistula were analyzed with univariate and multivariate logistic regression models. ResultsPancreatic fistula occurred in nine of the patients, and accounted for 29% of the overall morbidity. Multivariate logistic regression analysis revealed that a preoperative total bilirubin (TBIL) level of ≥171 umol/L and soft texture of the pancreas were independent risk factors for pancreatic fistula. ConclusionsPreoperative TBIL ≥171 umol/L and soft texture of the pancreas predict a high probability of pancreatic fistula formation after pancreaticoduodenectomy.
【关键字】:胰十二指肠切除术;胰腺瘘;危险因素
【Key words】:pancreaticoduodenectomy; pancreatic fistula; risk factors
【引证本文】:

地址:长春市东民主大街519号《临床肝胆病杂志》编辑部 邮编:130061 电话:0431-88782542/3542
临床肝胆病杂志 版权所有 Copyright © 2009 - 2013 Lcgdbzz.org. All Rights Reserv 吉ICP备10000617号

吉公网安备 22010402000041号