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在胰腺双管切除术后,鼻胃输管还是必要的吗? 一个病例控制队列研究
Omar Barakat1, Lisa Brubaker1, Centura Rohini Anbarasu1
1Division of Surgical Oncology and Hepatobiliary and Pancreas Surgery, Baylor College of Medicine, Houston, TX, United States.
Annals of hepato-biliary-pancreatic surgery
|January 22, 2026
概括
在胰腺管切除术后切除鼻胃管是安全的,结果没有显著差异. 然而,患有术后并发症的患者可能会从持续的鼻胃减压中受益.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部外科手术 腹部外科手术
背景情况:
- 胰腺管切除术后鼻胃输管的作用和必要性尚不清楚.
- 确定需要在手术后立即进行鼻胃输管治疗的患者至关重要.
研究的目的:
- 为了评估胰腺双管切除术后鼻胃输管的有效性.
- 为了确定影响鼻胃管再输管率的因素.
主要方法:
- 对于接受胰腺双管切除术的成年患者进行了回顾性病例对照队列研究.
- 早期鼻胃管切除 (n=110) 和保留 (n=100) 之间的结果比较.
主要成果:
- 两组之间没有临床结果或恢复率的显著差异.
- 在去除NGT的组中,恶心和吐的发病率更高 (p=0.02).
- 14.8%的患者需要重新插入鼻胃管;在单变量分析中,术后并发症影响了这一需求.
结论:
- 在胰腺二管切除术后提前切除鼻胃管是安全的.
- 鼻胃减压可能对患有术后并发症高风险的患者有益.
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