胰十二指肠切除术后高淀粉酶血症的研究进展
Postoperative hyperamylasemia following pancreaticoduodenectomy:a research progress review
开塞尔·阿不都哈迪尔 1林海1
作者信息
- 1. 新疆医科大学第一附属医院 胰腺外科,新疆 乌鲁木齐 830000
- 折叠
摘要
胰十二指肠切除术(PD)术后并发症发生率高达40%,故对其并发症的早期预测及处理是有必要的.PD术后高淀粉酶血症(POH)被认为是术后早期并发症发生率及严重程度的预测因子,但因对血清淀粉酶活性升高的机制不明确,其意义和含义近些年以不同的方式被解释.在此,笔者就POH概念的提出与发展历程、原因及影响、与术后急性胰腺炎及术后胰瘘之间的关系,以及防治措施等加以综述.
Abstract
Postoperative complications after pancreaticoduodenectomy(PD)occur at a high rate of up to 40%,thus early prediction and management of its complications are necessary.Postoperative hyperamylasemia(POH)following PD is considered a predictor of the occurrence rate and severity of early postoperative complications,but due to the unclear mechanism of elevated serum amylase activity,its significance and implications have been interpreted in various ways in recent years.Here,the authors review the concept and development history of POH,its causes and impacts,its relationship with postpancreatectomy acute pancreatitis and postoperative pancreatic fistula,as well as prevention and treatment measures.
关键词
胰十二指肠切除术/手术后并发症/高淀粉酶血症/胰腺炎/胰腺瘘/综述Key words
Pancreaticoduodenectomy/Postoperative Complications/Hyperamylasemia/Pancreatitis/Pancreatic Fistula/Review引用本文复制引用
基金项目
国家自然科学基金地区科学基金(82260538)
出版年
2024
国家科技期刊平台
NSTL
万方数据