摘要
目的探讨 Whipple 术中应用改良式胃造瘘术的临床意义。方法总结2004年11月至2006年12月收治的36例 Whipple 术中行改良式胃造瘘术加空肠造瘘术(治疗组)患者的临床资料,并与24例同期 Whipple 术中行传统胃造瘘术加空肠造瘘术(对照1组)及22例同期行 Whipple 术加空肠造瘘术(对照2组)的患者进行对照研究。对3组患者的手术时间,术后开始行肠内营养时间,术后留置鼻胃引流管时间以及术后胃瘫、胰瘘、胆瘘、腹腔感染等并发症的发生率进行统计学分析。结果治疗组及对照2组术后胃瘫发生率明显低于对照1组(P<0.05);治疗组术后留置鼻胃引流管时间明显短于对照2组(P<0.01);3组的手术时间、术后开始行肠内营养时间、胰瘘、胆瘘及腹腔感染发生率的差异无统计学意义(P>0.05)。结论 Whipple 术中行改良式胃造瘘术安全、可靠,可以明显缩短术后鼻胃引流管留置时间;与传统胃造瘘方法相比,可明显降低术后胃瘫的发生率。
Objective To explore the clinical significance of improvement gastrostomy in pancreaticoduodenectomy. Methods Clinical data of 82 patients who underwent pancreaticoduodenectomy and jejunostomy from November 2004 to December 2006 were collected, among which 36 patients received improvement gastrostomy （treatment group） ,24 patients accepted traditionary gastrostomy（ control group 1 ） and 22 patients without any gastrostomy （control group 2 ）. Operative time, postoperative duration of gastrointestinal decompression tube, postoperative gastroparesis, pancreatic fistula, biliary fistula, and abdominal cavity infection were compared. Results The incidence of postoperative gastroparesis in the treatment group and control group 2 were can significantly lower than that in the control group 1 （P 〈0.05 ）. The postoperative duration of gastrointestinal decompression tube of the treatment group was significant shorter than that of control group 2 （P 〈 0. 01 ）. There were no significant difference in other items. Conclusions The improvement gastrostomy in pancreatioduodenectomy is simple and secure. It can significantly shorten the postoperative duration of gastrointestinal decompression tube and also obviously reduce the incidence of Postoperative gastroparesis compared with traditionary gastrostomv.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第19期1318-1320,共3页
Chinese Journal of Surgery
作者简介
通讯作者：赵玉沛，Email：zha08028@263．net
