胰十二指肠切除术后出血的危险因素分析

发布时间：2018-07-04 10:30

  本文选题：胰十二指肠切除术 + 手术后出血　； 参考：《中国普通外科杂志》2012年09期

【摘要】：目的:探讨胰十二指肠切除术(PD)后腹腔和消化道出血的危险因素。方法:回顾性分析2005年5月—2011年5月在新疆医科大学第一附属医院行PD手术的132例壶腹周围癌患者的临床资料。结果:132例患者中,术后(腹腔和消化道)出血27例(20.5%),其中术后消化道出血12例(9.1%),腹腔内出血6例(4.5%),腹腔兼消化道出血9例(6.8%)。单因素分析结果显示,术中出血量、术中输血量、术后腹腔感染、胰瘘、胆瘘及胰肠吻合口瘘与PD术后出血有关(均P0.05);多因素分析结果表明,术中出血量≥500 mL(P0.000,95%CI=6.900~103.775)、胰瘘(P=0.003,95%CI=2.319~55.717)及腹腔感染(P=0.043,95%CI=1.046~19.364)是PD术后出血的独立危险因素。结论:术中出血量≥500 mL,胰瘘,腹腔感染是胰十二指肠切除术后出血的独立危险因素。
[Abstract]:Objective: to investigate the risk factors of abdominal and digestive tract hemorrhage after pancreaticoduodenectomy (PD). Methods: the clinical data of 132 patients with periampullary carcinoma underwent PD operation in the first affiliated Hospital of Xinjiang Medical University from May 2005 to May 2011 were retrospectively analyzed. Results among 132 patients, 27 (20.5%) had postoperative bleeding (abdominal cavity and digestive tract), 12 (9.1%) had postoperative gastrointestinal bleeding, 6 (4.5%) had intraperitoneal hemorrhage, 9 (6.8%) had intraperitoneal and digestive tract hemorrhage. Univariate analysis showed that intraoperative bleeding, intraoperative blood transfusion, postoperative abdominal infection, pancreatic fistula, biliary fistula and pancreaticointestinal anastomotic fistula were associated with postoperative bleeding (P0.05). Intraoperative bleeding 鈮，

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