摘要
随着现代医学的发展以及手术技术的进步,胰十二指肠切除手术(PD)的围手术期死亡率不断下降,大部分胰腺中心甚至已经达到小于2%,但术后并发症,比如胰瘘、术后出血、腹腔感染、胃排空障碍等居高不下。其中术后出血和腹腔感染会导致病情危重,有时需要紧急处理,否则危及生命;术后胰瘘是最常见并发症。胰腺术后胰瘘(POPF)发生率3%~45%,可能导致术后出血和腹腔感染,也是导致术后死亡的主要原因。如何防治胰瘘,尤其是防治C级胰瘘,是所有胰腺外科医生共同面临的难题。本文结合临床实践与文献,对胰瘘发生危险因素,以及预防和治疗胰瘘进行探讨。
With the development of modern medicine and progress of operation,mortality after pancreaticoduodenectomy is decreasing,even less than 2% in major pancreatic center while morbility is still high.Most of them are postoperative pancreatic fistulas（POPF）,about 3% -45%,which is the major cause of leading death.How to prevent and treat postoperative pancreatic fistulas after pancreaticoduodenectomy,especially Grade C fistulas,is the common problem for all the pancreatic surgeons.This article is to explore the prevention and treatment of postoperative pancreatic fistulas.
出处
《医学与哲学（B）》
2017年第11期15-17,共3页
Medicine & Philosophy(B)
关键词
胰十二指肠切除
胰瘘
预防治疗
pancreaticoduodenectomy, pancreatic fistula, prevent and treatment
