评估改良胰胆管吻合术无胰管吻合空肠黏膜吻合术的安全性和有效性。

回顾性分析2008年7月至2018年7月接受胰十二指肠切除术的患者120例资料，按照患者意愿分为传统组(n＝60)和改良组(n＝60)。传统组行传统胰十二指肠切除术，改良组行改良胰空肠黏膜吻合术。选择SPSS20.0统计学软件分析；患者围术期情况比较以均数±标准差表示，采用独立t检验；安全性指标采用χ²检验；P<0.05为差异有统计学意义。

改良组患者的手术时间、住院时间、进食时间、住院费用、下床活动时间、首次排气时间、首次排便时间、肠鸣音恢复时间、胰空肠黏膜吻合时间和术后胰瘘A、B、C级发生率均短/低于传统组患者(P<0.05)；传统组患者并发症发生率61.7%，改良组为15.0%，差异有统计学意义(χ²＝27.638, P<0.01)。

采用改良胰空肠黏膜吻合术对患者进行治疗，手术时间短，胰瘘等其他并发症发生率低，患者术后恢复良好，兼具安全性与有效性。

To evaluate the safety and efficacy of modified pancreaticobiliary anastomosis without pancreaticojejunostomy for jejunal mucosa anastomosis.

A retrospective analysis of 120 patients who underwent pancreaticoduodenectomy from July 2008 to July 2018 was conducted. The patients were divided into the traditional group (n=60) and the improved group (n=60) according to the different surgical procedure. The conventional pancreaticoduodenectomy was performed in the traditional group. The modified jejunal mucosal anastomosis was performed in the modified group. SPSS20.0 statistical software was selected to analyze. The perioperative condition was compared with mean deviation (±s). Independent t test was used. Safety index was checked by chi square. P<0.05 was statistically significant.

The operation time, hospitalization time, eating time, hospitalization expenses, ambulation time, first exhaust time, first defecation time, bowel sounds recovery time, pancreaticojejunal mucosa anastomosis time and postoperative pancreatic fistula A, B, C rate in the improved group were better than those in the traditional group (P<0.05). The incidence of complications was 61.7% in the traditional group and 15.0% in the improved group. The difference was statistically significant (χ²=27.638, P<0.01).

The modified pancreatic jejunojejunostomy has advantages with short operation time, low incidence of other complications, such as pancreatic fistula, good recovery.