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Results: All the 14 cases showed hypoechoic masses at the right of pancreas head or inferior to pancreas head. Thirteen cases were diagnosed as duodenal tumor by ultrasonography, another one was diagnosed as enlarged lymphnode. Of all the 14 cases, 13 cases were duodenal tumor demonstrated by the surgical and histological examination, one case was diagnosed as duodenitis by duodenoscopy.

结果:超声检查14例均表现为胰头附近的低回声肿块,13例超声诊断为十二指肠肿瘤,1例诊断为腹膜后肿大淋巴结。14例中,13例经手术病理证实为十二指肠肿瘤,1例经十二指肠镜诊断为十二指肠炎。

Objective To study the way of preventing the leakage of bile and pancreatic juice after pancreatoduodenectomy.

目的 探讨预防胰头十二指肠切除术后胰、胆漏的发生原因。

Results: Main CT appearances of this group of cases:①Ampullary carcinoma manifested as a small mass and was prone to protruding into duodenum, whereas the center of pancreatic head carcinoma was located in pancreas.

结果:本组病例的CT主要表现:①壶腹癌瘤体小,易向十二指肠腔突出,中心位于十二指肠腔内;胰头癌的中心则通常在胰腺内。

Annular pancreas is a rare congenital abnormality resulting from a fusion anomaly of the bilobed ventral pancreatic bud, with the dorsal bud and associated duodenal migration.

环状胰腺是一种罕见的先天异常,其病因是由于两个分裂的腹胰芽融合异常所致,而背侧的腹胰芽伴随十二指肠转位。

Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy, andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy.

结果:本组中,术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高,胃镜、上消化道造影是诊断本病有价值的方法,经保守治疗后胃肠动力一般可在术后5周内恢复正常。

Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy, andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy. Gastroscopy and upper gastrointestinal series served as a valuable measurement in diagnosis. In general, GI motility could be restored after 5 weeks of conservative therapies.

结果:本组中,术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高,胃镜、上消化道造影是诊断本病有价值的方法,经保守治疗后胃肠动力一般可在术后5周内恢复正常。

Methods:Based on the clinical data of 159 cases of pancreatoduodenectomy performed in the recent one and half years, the pathogenesis of post-pancreatoduodenectomy diarrhea was analyzed and the effect of different treatments was observed.

以笔者近1年半内收治的159例胰十二指肠切除术患者为对象,分析术后腹泻发生的原因及不同的处理方法。

In the article we focus on hemorrhage and hemostasis of pancreatoduodenectomy, discuss the risk factors for bleeding, key points of diagnosis and treatment of hemorrhage, and surgical techniques to stop bleeding.

本文着眼于胰十二指肠切除术的出血和止血问题,就出血的危险因素;出血诊断和治疗的关键问题;止血的手术技巧等作一探讨,以期对临床有所借鉴。

Accurate operational evaluation and careful operation are also important for pancreatoduodenectomy combined vascular resection.

术中准确的评估,细致的解剖操作,对成功开展合并受侵血管切除的胰十二指肠切除术至关重要。

Objective: Probe into the prevention of the pancreas duodenum method and complication of excising the skill.

目的:探讨胰十二指肠切除术的方法及并发症的预防。

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