中国实用外科杂志

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胰瘘发生危险因素及术前预测

李    非,曹    锋   

  1. 首都医科大学宣武医院普通外科,北京 100053
  • 出版日期:2015-08-01 发布日期:2015-07-27

  • Online:2015-08-01 Published:2015-07-27

摘要:

胰瘘是胰腺切除术后常见且严重的并发症。对胰瘘危险因素的早期识别及准确的术前预测有助于及时发现并治疗胰瘘。胰腺切除术后胰瘘的发生与病人基本情况(年龄、体重指数、胰腺质地等),术前治疗措施及术中操作等密切相关。传统方法在防治胰瘘中存在不足,而超声等影像学技术的发展为胰瘘术前预测带来了新希望。鉴于胰瘘对病人临床结局的显著影响,其必将成为长期的研究热点。

关键词: 胰瘘, 危险因素, 胰腺切除术

Abstract:

Risk factors and preoperative prediction for pancreatic fistula        LI Fei,CAO Feng. Department of General Surgery, Xuanwu Hospital,Capital Medical University,Beijing100053,China
Corresponding author:LI Fei,E-mail:feili36@ccmu.edu.cn
Abstract    Pancreatic fistula is a common and serious complication after pancreatectomy. Early identification of risk factors and accurate preoperative prediction for pancreatic fistula facilitate the timely detection and treatment of clinical pancreatic fistula. The basic situation of patients(such as age,body mass index,pancreas texture,etc.),preoperative treatment and surgical skills are closely related to postoperative pancreatic fistula. The shortcomings of traditional methods make new ultrasound imaging techniques as a new hope for preoperative prediction for pancreatic fistula. In view of the significant impact on clinical outcomes,postoperative pancreatic fistula will be a long-term research focus.

Key words: pancreatic fistula, risk factor, pancreatectomy