本文選題：胰腺假性囊腫 + 分型��； 參考：《蘭州大學(xué)》2017年碩士論文

【摘要】：目的:本研究通過(guò)對(duì)我院胰腺假性囊腫(pancreatic pseudocyst,PPC)的兩種內(nèi)引流術(shù)式的臨床效果進(jìn)行探討,對(duì)比兩種內(nèi)引流術(shù)式的優(yōu)劣。資料及方法:2011.3-2015.7蘭州大學(xué)第一醫(yī)院收治的56例PPC行內(nèi)引流術(shù)的患者分為囊腫-空腸Roux-en-Y吻合術(shù)組(A組)、囊腫-胃吻合術(shù)組(B組)。其中A組35例,B組21例。統(tǒng)計(jì)一般信息、治療方法、術(shù)中出血量、術(shù)后并發(fā)癥、術(shù)后通氣時(shí)間、進(jìn)食時(shí)間、住院時(shí)間、復(fù)發(fā)等數(shù)據(jù),所有病例隨訪(fǎng)6-18個(gè)月(平均12.8月),對(duì)比兩組手術(shù)方法的優(yōu)劣。結(jié)果:A組手術(shù)時(shí)間(2.96±0.13h)長(zhǎng)于B組(1.96±0.11h,P0.05);A組術(shù)中出血量(361.57±8.97ml)多于B組(292.38±18.88ml,P0.05);術(shù)后消化道出血A組2例(5.7%),B組6例(28.6%),差異有統(tǒng)計(jì)學(xué)意義(P0.05);A組囊腫無(wú)復(fù)發(fā),B組復(fù)發(fā)1例(4.8%),兩組差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);A組術(shù)后胰瘺、感染發(fā)生率分別為5.7%(2/35)、0%,B組分別為0%,4.8%(1/21),兩組差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后通氣時(shí)間、進(jìn)食時(shí)間、術(shù)后住院時(shí)間A組分別為3.54±0.65d、4.74±0.74d、6.60±0.65d,B組為3.71±0.78d、4.44±0.87d、6.38±0.80d,兩組差異無(wú)顯著性(P0.05)。結(jié)論:囊腫胃吻合術(shù)操作簡(jiǎn)單,手術(shù)時(shí)間短,術(shù)中出血量較少,但術(shù)后消化道出血較多見(jiàn);囊腫空腸Roux-en-Y吻合術(shù)手術(shù)時(shí)間長(zhǎng),術(shù)中出血量較多,但消化道出血較少見(jiàn),且對(duì)囊腫的位置沒(méi)有特殊要求。兩種方法各有利弊,因此對(duì)不同的病例,應(yīng)合理選擇手術(shù)方法。
[Abstract]:Objective: to investigate the clinical effects of two internal drainage methods of pancreatic pseudocystoma PPCs in our hospital and compare the advantages and disadvantages of the two internal drainage methods. Materials and methods 56 patients with PPC undergoing internal drainage were divided into two groups: cyst-jejunum Roux-en-Y anastomosis group (group A) and cyst-gastrostomy group (group B). There were 35 cases in group A and 21 cases in group B. Statistics of general information, treatment methods, intraoperative bleeding volume, postoperative complications, postoperative ventilation time, feeding time, hospitalization time, recurrence and other data, all cases were followed up for 6-18 months (mean 12.8 months), compared the advantages and disadvantages of the two groups. Results the operative time of group A (2.96 鹵0.13 h) was longer than that of group B (1.96 鹵0.11hP0.05ml) than group A (361.57 鹵8.97ml), and that of group A was 292.38 鹵18.88ml (P0.05), and that of group A was 2 cases of postoperative gastrointestinal hemorrhage (group A, 2 cases: 5.72ml, group B, 6 cases), there was significant difference between group A (group A), group B (n = 1), and group B (n = 1). There was no significant difference between the two groups in the recurrence of cysts in group B and group B (n = 1). In group A, pancreatic fistula was found after operation. The incidence of infection in group B was 3.71 鹵0.78 鹵0.87 鹵6.38 鹵0.80 days, respectively. There was no significant difference between the two groups (P 0.05), the time of postoperative ventilation, the time of feeding and the time of hospitalization after operation were 3.54 鹵0.65 days, 4.74 鹵0.74 days and 6.60 鹵0.65 days, respectively. The rates of infection in group B were 3.71 鹵0.78 days, 4.44 鹵0.87 days and 6.38 鹵0.80 days, respectively. There was no significant difference between the two groups (P 0.05). Conclusion: the operation of cyst-stomach anastomosis is simple, the operation time is short, the amount of intraoperative bleeding is less, but the postoperative gastrointestinal hemorrhage is more common, the cyst-jejunostomy Roux-en-Y anastomosis has a long operation time, the amount of intraoperative bleeding is more, but the bleeding of digestive tract is rare. There is no special requirement for the location of the cyst. The two methods have their advantages and disadvantages, so for different cases, we should choose the operative method reasonably.
【學(xué)位授予單位】：蘭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R657.5

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