| 吕晓丽,焦光辉,袁宏莉.胰头十二指肠切除术后胃排空延迟及严重程度的影响因素分析[J].安徽医药,2019,23(11):2166-2170. |
| 胰头十二指肠切除术后胃排空延迟及严重程度的影响因素分析 |
| Analysis of factors affecting the delayed gastric emptying and severity of delayed gastric emptying after pancreatoduodenectomy |
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| DOI：10.3969/j.issn.1009?6469.2019.11.012 |
| 中文关键词: 胰十二指肠切除术 胃排空延迟 保留幽门 影响因素 |
| 英文关键词: Pancreatoduodenectomy Delayed gastric emptying Pylorus retention Influencing factors |
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| 中文摘要: |
| 目的探讨胰头十二指肠切除术后胃排空延迟及严重程度的发生情况及影响因素。方法选择 2013年 1月至 2017年 10月在平煤神马医疗集团总医院行胰头十二指肠切除术病人 156例的临床资料进行回顾性分析。分析影响胃排空延迟的影响因素、影响胃排空延迟不同严重程度的相关因素。结果多因素分析结果显示胃空肠吻合方式 Roux?en?Y法、管型吻合器直径 28 mm是保护因素，保留幽门、术中出血量 ≥1 000 mL、术后白蛋白水平＜ 30 g/L，术后腹部并发症是胃排空延迟的高危因素( P＜0.05)；年龄 ≥65岁、术后腹部并发症是影响胃排空延迟严重程度的独立危险因素( P＜0.05)。结论 Roux?en?Y法胃空肠吻合、管型吻合器直径 28 mm可降低胃排空延迟的风险，保留幽门、术中出血量 ≥1 000 mL、术后白蛋白水平＜ 30 g/L，术后腹部并发症增加胃排空延迟的风险；年龄≥65岁、术后腹部并发症是影响胃空肠排空延迟严重程度的独立危险因素。 |
| 英文摘要: |
| Objective To disucss factors affecting the delayed and severity of gastric emptying after pancreatoduodenectomy. Methods Clinical data of 156 cases underwent pancreatoduodenectomy from January 2013 to October 2017 were retrospectivelyanalyzed.The factors affecting the delayed gastric emptying delay and the related factors affecting the different severity of gastricemptying delay were analyzed.Results Multi factor analysis showed that Roux?en?Yfor stomachate jejunum anastomosis，tubular stapler diameter 28 mm were protective factors，and pylorus retention，intraoperative bleeding≥1 000 mL，postoperatively protein level＜30 g/L，postoperative abdominal complications were independent risk factors for delay gastric emptying(P＜0.05).Age≥65 years old，postoperative abdominal complications were independent risk factors of severity of delay gastric emptying(P＜0.05). Conclusion Roux?en?Y of stomachal jejunostomy，tubular stapler diameter 28 mm can reduce risk of delayed gastric emptying，py? lorus retention，intraoperative bleeding≥1 000 mL，postoperatively protein level＜30 g/L，postoperative abdominal complications in? crease risk of delayed gastric emptying.Age≥65 years old，postoperative abdominal complications are independent risk factors of se? verity of delay gastric emptying. |
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