發(fā)布時間：2018-07-04 10:30

  本文選題：胰十二指腸切除術 + 手術后出血��； 參考：《中國普通外科雜志》2012年09期

【摘要】：目的:探討胰十二指腸切除術(PD)后腹腔和消化道出血的危險因素。方法:回顧性分析2005年5月—2011年5月在新疆醫(yī)科大學第一附屬醫(yī)院行PD手術的132例壺腹周圍癌患者的臨床資料。結(jié)果:132例患者中,術后(腹腔和消化道)出血27例(20.5%),其中術后消化道出血12例(9.1%),腹腔內(nèi)出血6例(4.5%),腹腔兼消化道出血9例(6.8%)。單因素分析結(jié)果顯示,術中出血量、術中輸血量、術后腹腔感染、胰瘺、膽瘺及胰腸吻合口瘺與PD術后出血有關(均P0.05);多因素分析結(jié)果表明,術中出血量≥500 mL(P0.000,95%CI=6.900~103.775)、胰瘺(P=0.003,95%CI=2.319~55.717)及腹腔感染(P=0.043,95%CI=1.046~19.364)是PD術后出血的獨立危險因素。結(jié)論:術中出血量≥500 mL,胰瘺,腹腔感染是胰十二指腸切除術后出血的獨立危險因素。
[Abstract]:Objective: to investigate the risk factors of abdominal and digestive tract hemorrhage after pancreaticoduodenectomy (PD). Methods: the clinical data of 132 patients with periampullary carcinoma underwent PD operation in the first affiliated Hospital of Xinjiang Medical University from May 2005 to May 2011 were retrospectively analyzed. Results among 132 patients, 27 (20.5%) had postoperative bleeding (abdominal cavity and digestive tract), 12 (9.1%) had postoperative gastrointestinal bleeding, 6 (4.5%) had intraperitoneal hemorrhage, 9 (6.8%) had intraperitoneal and digestive tract hemorrhage. Univariate analysis showed that intraoperative bleeding, intraoperative blood transfusion, postoperative abdominal infection, pancreatic fistula, biliary fistula and pancreaticointestinal anastomotic fistula were associated with postoperative bleeding (P0.05). Intraoperative bleeding 鈮，

本文編號：2095775