经胃十二指肠造瘘减压在十二指肠手术中价值分析.docVIP

经胃十二指肠造瘘减压在十二指肠手术中价值分析 　　doi：10.3969/j.issn.1007-614x.2014.11.28 　　摘 要 目的：对在十二指肠手术中应用经胃十二指肠造瘘减压的价值进行探讨和分析。方法：收治行十二指肠手术治疗患者25例，全部患者均接受经胃十二指肠造瘘减压，对应用效果进行观察和分析。结果：24例患者治疗有效，其中3例患者病情好转，21例患者治愈，治疗总有效率96%，1例患者治疗无效。1例十二指肠合并胰腺损伤患者治疗无效，最终不治身亡，主要原因为术后出现严重出血并引发多脏器功能衰竭。其余患者经CT、B超、钡餐复查结果显示患者恢复理想，没有出现严重的远期并发症。结论：在十二指肠手术中应用经胃十二指肠造瘘减压能够使术后并发症的发生率得到有效控制，同时还能使手术操作获得简化，具有较高的临床应用价值。 　　关键词 经胃十二指肠造瘘减压 十二指肠手术 应用价值 　　Value analysis of duodenal fistula decompression via stomach in duodenal operation 　　Wang Qingquan1，Sun Changshou2 　　The Central Hospital of Wudi County，Binzhou City，Shandong 2519001 　　The Center Hospital of Shejia，Wudi County，Binzhou City，Shandong 2519032 　　Abstract Objective：To explore the value of duodenal fistula decompression via stomach in duodenal operation.Methods：25 patients with duodenal operation were selected，all patients were treated with duodenal fistula decompression via stomach.The treatment effects were observed and analyzed.Methods：Treatment of 24 patients were effective；among them，3 patients were improved，21 patients were cured，the total effective rate was 96%.Treatment of 1 patient was invalid.Treatment of 1 patient with duodenal injury complicated with pancreatic injury was invalid，the patient eventually died.The main reason was the serious hemorrhage and multiple organ failure after operation.The remaining patients were reviewed by the CT，B ultrasound and barium meal，the results showed that patients were recovered without serious complications.Conclusion：The application of duodenal fistula decompression via stomach in duodenal operation can effectively control the incidence of postoperative complications，make the operation simple，and it has high value in clinical application. 　　Key words Duodenal fistula decompression via stomach；Duodenal operation；Value of application 　　患者行十二指肠手术治疗后出现十二指肠瘘的几率较高，会引发局部以及全身生理紊乱，具有较高的治疗难度，若治疗效果不理想还会导致患者死亡。为了使患者的生存质量和生活质量获得有效提高，本次研究特就在十二指肠手术中应用经胃十二指肠造瘘减压的价值进行探讨和分析。 　　资料与方法 　　收治行十二指肠手术治疗患者25例，1例患者罹患十二指肠乳头腺癌，11例患者罹