J4 ›› 2011, Vol. 10 ›› Issue (12): 62-64.
目的：探讨腹部闭合性损伤，胰腺断裂伤手术治疗疗效。方法：对8 例腹部闭合性损伤，胰头、颈、体及尾部断裂伤病例手术治疗进行分析。结果：8 例患者中2 例为胰十二指肠切除术；5 例为胰腺近断端缝合，远断端与空肠做Roux-en-Y形吻合；1例为胰尾部切除。全部病例均治愈，无死亡病例。结论：用胰十二指肠切除术；胰腺近断端缝合，远断端与空肠Roux-en-再形吻合；胰尾部切除治疗胰腺断裂伤患者可获得满意的效果，值得临床推广运用。
Objective: To explore the experience in surgical treatment of closed abdominal traumatic pancreatic rupture. Methods: The clinical data of 8 traumatic pancreatic rupture cases were retrospectively analyzed. Results: The types of surgical procedure for 8 cases included 2 cases of pancreaticoduodenectomy, 5 cases of proximal pancreatic close plus distal Roux-en-Ypancreaticojejunostomy, 1 case of distal pancreatectomy. All patients were successful cured. Conclusion: Surgical treatment is important for closed abdominal traumatic pancreatic rupture. The surgical management should be individualized depending on the site of the injury.
