摘要
目的探讨BillrothⅡ式胃部分切除并发十二指肠残端瘘的原因和预防措施。方法回顾性分析252例进行BillrothⅡ式胃部分切除术患者的临床资料。结果预防性引流组(包括长胃管经输入襻置入十二指肠降部引流或行Braun吻合、十二指肠造瘘、腹腔双套管负压引流)术后十二指肠残端瘘的发生率与非预防性引流组比较,差异有统计学意义(P<0.05)。结论十二指肠残端瘘重在预防,科学、有效的引流是预防十二指肠残端瘘的关键措施之一。
Objective To investigate the cause and prevention measures of duodenal stump leakage syndrome after partial gastrectomy of type Billroth Ⅱ. Methods Clinical data of 252 patients with partial gastrectomy of type Billroth Ⅱwere retrospectively analyzed. Results There was a statistical difference of the incidence rate of duodenal stump leakage after surgery in preventative drainage group（including long gastric tube reaching descending duodenum for drainage through the afferent loop or for Braun anastomosis,duodenal fistula,double tube negative pressure drainage of abdominal cavity） between the non-preventative drainage group and the preventative drainage group（P〈0.05）. Conclusion Duodenal stump leakage focuses on prevention.Scientific and effective drainage is one of key measures to prevent duodenal stump leakage.
出处
《中国当代医药》
2015年第4期27-29,32,共4页
China Modern Medicine
关键词
胃部分切除
十二指肠残端瘘
手术治疗
引流
Partial gastrectomy
Duodenal stump leakage
Surgical treatment
Drainage
