胰十二指腸切除術胰漏發(fā)生與治療因素相關性的臨床分析.pdf

1、南昌大學醫(yī)學院碩士學位論文胰十二指腸切除術胰漏發(fā)生與治療因素相關性的臨床分析姓名：鐘飛莊申請學位級別：碩士專業(yè)：外科學（普外）指導教師：鄧鉞濤20080601AbstractAbstractobjective：Combinedwiththeliteratures，theauthordiscussedthecorrelationbetweentheoccurrenceofpancreaticleakageandthedifferentcl

2、inicaltreatmentmeasuresgiven，toexpecttogetnewdiscoveryforguidingtheclinicaltreatmentMethods：PatientswhounderwentPDatthefirstaffiliatedHospitalofMedcialCollegcofnanchangUniversitybetweenJun2002andOct2007wereenrolledWecond

3、uctedaretrospectivereviewofthesepatients，toinvestigatethecomplicationpancreaticleakageandtoanalysisthecorrelationbetweenthe：occurrenceofpancreaticleakageandthedifferentclinicaltreatmentmeasuresgivenallkindsoftrentmemtfac

4、torsgivenincludedtwoaspects：1thesurgeonrelatedfactors，suchasoperativetechnique(removalrange)，pancreaticanastomotictechniques，methodofpancreaticstentplacement，operativetimeaIldintroperativebloodloss2postoperativetreatment

5、measures：applicationofSomatostatin，applicationofhumanserumalbuminandearlyenteralnutritionResults：Ofthe135patientsundergoingpancreaticoduodenectomyatthefirstaffiliatedHospitalofMedcialCollegeofnanchangUniversity，Overallop

6、erativemortalitywas37％(5／135)，andmajormorbiditywas141％(19／135)，includingabdominalinfection2，delayedgastricemptying10，pancreaticleakage6，lunginfection8，urinaryinfection1，postoperativewoundinfection2thepatientswithpancreat

7、icleakageweretreatedconservatively，exceptforonediedofpancreaticleakageandonecuredbyoperationagainStatisticalanalysisshowedthat‘thereiscorrelationbetweenintroperativebloodlossandPostoperativepancreaticleakage(P005)；therei