摘要
目的分析远端胰腺切除术(DP)术后胰瘘(POPF)发生的相关危险因素,探讨预测DP后POPF的有效因素。方法回顾性分析2010年1月至2017年11月期间于徐州医科大学附属医院肿瘤外科接受DP的120例胰腺疾病患者的临床资料,采用非条件logistic回归探索DP后POPF发生的影响因素。结果 120例患者中,有15例(12.5%)发生有临床意义的POPF,其中B级胰瘘13例,C级胰瘘2例。非条件logistic回归结果显示,胰腺质地软及术前胰腺CT值小于40 Hu为DP后发生POPF的独立危险因素(P<0.05)。结论胰腺质地及术前胰腺CT值是DP后POPF发生的重要影响因素,术前对患者的胰腺CT值及术中胰腺质地进行评估,可有效预测DP后POPF的风险。
Objective To analyze the risk factors of postoperative pancreatic fistula（POPF） after distal pancreatectomy（DP） and to explore the effective index of predicting POPF after DP. Methods The clinical data of 120 patients with pancreatic disease who were treated with DP in the Department of Tumor Surgery of Xuzhou Medical University from January 2010 to November 2017 were analyzed retrospectively. The influencing factors of POPF after DP were analyzed by non-conditional logistic regression. Results Of the 120 patients, 15 patients（12.5%） had clinically significant POPF, including 13 cases of grade B pancreatic fistula and 2 cases of grade C pancreatic fistula. The results of non-conditional logistic regression showed that, the soft pancreas and preoperative pancreatic CT value of the pancreas less than 40 Hu were the independent risk factors of POPF after DP（P〈0.05）. Conclusions Pancreatic texture and preoperative CT value are important factors influencing the occurrence of POPF after DP. Evaluating the preoperative CT value and intraoperative pancreatic texture can effectively predict the risk of POPF after DP.
作者
王尚卿
王飞通
刘星
刘斌
WANG Shangqing;WANG Feitong;LIU Xing;LIU Bin(Department of Tumor Surgery,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221000,P.R.China)
出处
《中国普外基础与临床杂志》
CAS
2018年第10期1201-1205,共5页
Chinese Journal of Bases and Clinics In General Surgery
关键词
胰瘘
远端胰腺切除术
胰腺平扫CT值
危险因素
postoperative pancreatic fistula
distal pancreatectomy
pancreatic plain scan CT value
risk factor
