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胰十二指肠切除术在慢性胰腺炎治疗中的应用价值及并发症分析

The Analysis of the Application Value and Complication of Pancreaticoduodenectomy in the Treatment of Chronic Pancreatitis
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摘要 目的探究胰十二指肠切除术在慢性胰腺炎治疗中的应用价值。方法回顾性分析江油市第二人民医院98例行手术治疗的慢性胰腺炎患者的临床资料,比较不同术式在手术时间、疼痛缓解率、并发症和住院时间的差异。结果研究组患者疼痛总缓解率为显著高于对照组(87.5%vs71.4%)(z=5.34,P<0.05);手术时间、术中出血量均大于对照组[(310±91)min vs(249±71)min]、[(332±103)mL vs(241±74)mL](P<0.05);住院时间较对照组长[(14.0±2.6)d vs(8.5±3.2)d](P<0.05)。结论胰十二指肠切除术能有效缓解慢性胰腺炎患者的疼痛,但具有一定的并发症发生风险。 Objective To explore the application value of pancreaticoduodenectomy in patients with chronic panereatitls. Methods The retrospective study of the clinical data of 98 patients with chronic pan- creatitis who received operation in Jiangyou Second People's Hospital was done to compare the differences of the operation condition, pain relief rate, complications and hospitalization time. Results The pain relief rate of study group was 87.5%, much higher than that of the control group ( 71.4% ) ( z = 5.34, P 〈 0.05 ) ; operation time and intraoperative blood loss were significantly longer than the control group[ (310±91 ) rain vs (249 ± 71 ) rain ], [ ( 332 ± 103 ) mL vs ( 241 ± 74 ) mL ] ( P 〈 0.05 ) ; the hospital stay was longer than thecontrolgroup[(14.0±2.6) dvs(8.5±3.2) d](P〈0.05).Conclusion Pancreatoduodenectomy can effectively relieve the pain of patients with chronic pancreatitis, but has a certain degree of risk of postop- erative complications.
作者 杜祥会
出处 《医学综述》 2014年第7期1308-1309,共2页 Medical Recapitulate
关键词 慢性胰腺炎 胰十二指肠切除术 术后出血 疼痛 Chronic panereatitis Pancreaticoduodenectomy Postoperative bleeding Pain
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