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1、胰腺癌根治術(shù)胰腸吻合方式研究［摘要］目的：探討胰腺癌根治術(shù)胰腸不同吻合方式對臨床效果影響，以提高吻合質(zhì)量。方法：選取2010年4月至2013年4月收治的50例胰腺癌患者為研究對象，平均分成2組，均予以胰十二指腸切除術(shù)，分別予捆綁式胰腸端端吻合和套入式胰腸端端吻合，觀察2組術(shù)中及術(shù)后并發(fā)癥等指標(biāo)。結(jié)果：捆綁式吻合組并發(fā)癥總發(fā)生率12%,1、3、5年生存率分別為76%、48%、16%；套入式吻合組并發(fā)癥總發(fā)生率20%,1、3、5年生存率分別為72%、52%、20%,2組生存率比較差界無統(tǒng)計學(xué)意義(p>0
2、.05)。另外2組在手術(shù)時間、術(shù)中出血量、輸血量、胰周引流液量、胰周引流液淀粉酶濃度、肛門排氣時間、住院天數(shù)比較差異也無統(tǒng)計學(xué)意義(P>0?05)。結(jié)論：捆綁式和套入式端端吻合方式的臨床效果相近，但捆綁式胰腸端端吻合總體并發(fā)癥低于套入式吻合。［關(guān)鍵詞］胰腺癌根治術(shù)；吻合方式；臨床效果中圖分類號：R657.6R735.9文獻(xiàn)標(biāo)識碼：A文章編號：2055-5200(2014)01-013-04Doi：10.11876/mimt201401004ClinicalAnalysisonDifferentAna
3、stomoticMethodsofPancreaticCancerRadicalMastectomyZHAOZhi-qiang.(Departmentofgeneralsurgical,Laiwucitypeople，shospital,Laiwu271100)[Abstract]Objective：Toobservetheinfluenceofdifferentanastomoticmethodsofpancreaticcancerradicalmastectomyonclinicaleffect
4、,forfindingthebestanastomoticmethodandimprovingtheclinicaleffect?Methods：50caseswithpancreaticcancerfromApril2010toApri12013wereselectedastheresearchobjectsanddividedintotwogroupsaveragely.Thepatientsweretreatedwithpancreasduodenumresection,onegroupwas
5、treatedwithtiedend一to—endanastomosis,andtheothergroupwastreatedwithnestedcmd-to~endanastomosis.Thepostoperativecomplicationsoftwogroupswasobserved.ResuIts：Thetotalincidencerateofcomplicationsinthetiedend-to-endanastomosisgroupwas12%,andthesurvivalrateo
6、f1year,3yearsand5yearswas76%，48%and16%.Thetotalincidencerateofcomplicationsinthenestedend-to-endanastomosisgroupwas20%,andthesurvivalrateof1year,3yearsand5yearswas72%,52%and20%.Thedifferencebetweentwogroupshadnotstatisticalsignificance(p>0.05)?Therewas
7、nostatisticalsignificaneeforoperationtime,bleedingamount,bloodtransfusion,peripancreaticdrainagefluidvolume,peripancreaticdrainagefluidamylaseconcentrations，anusexhaustingtimeand1engthofstaybetweentwogroups(p>0.05)?Conclusion：Differentanastomoticmethod
8、sofpancreaticcancerradicalmastectomyhavenoevidentdiffereneefortheconditionduringoperation,whichdependsontheskillandsurgicaltechniquesofoperators.Buttiedend-to-endanastomosishasthebesteffect.[Keywords]pancreaticcancerradicalmastectomy；an
