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从“四切三吻合”到“一切一吻合” ——胰头部良性肿物切除新术式【2018 技术创新一等奖】
作者:邴运韬   来自:院刊  时间:2019-3-13   文章点击率:  栏目点击率:

    我们常说,医学是有局限性的,但追求科学进步的脚步却永不停歇。2018年,北医三院又有一批新的医疗技术,经过严格的审批和长期观察,转为常规技术普及应用。新技术带来新的希望,让我们来看看这些技术都有哪些吧~

项目团队:北医三院普通外科

从“四切三吻合”到“一切一吻合” ——胰头部良性肿物切除新术式【2018 技术创新一等奖】

2018年医疗技术创新奖一等奖

  技术名称:胰头肿物局部切除后胰肠吻合修补胰腺创面

  项目负责人:原春辉(左六)

  团队成员:修典荣、原春辉、蒋斌、马朝来、李磊、彭颖、王行雁、张利、邴运韬

 

从1名患者的治疗经历谈起

  HUANZHEWANGNVSHISHIYIWEI33SUIDEYIHUNNVXING,YINWEIHUNHOUWEIYUNLAIDAOBEIYISANYUANSHENGZHIYIXUEZHONGXINJIUZHEN。ZAIXINGYUNQIANJIANCHASHIFAXIANLEYIGEWEIYUYIXIANJINGBUDEZHANWEI,DAXIAOYUE3*5cm,BUNENGCHUWAIEXING......ZHEIWUYIDUIHUANZHEHETADEJIATINGLAISHUODOUSHIYIGEJUDADEDAJI。

从“四切三吻合”到“一切一吻合” ——胰头部良性肿物切除新术式【2018 技术创新一等奖】

  WANGNVSHIBEIZHUANDAOPUTONGWAIKEJINXINGZHILIAO,ZHANGFUYIZHIXINGYINGBULIDEPEIBANZHE。DANSHIKAOLVDAOYIHOUDESHENGHUO,TADUIZHILIAOQUEBUSHIHENJIJI,YINWEITAZHIDAOWULUNSHISHOUSHUHAISHIHUALIAO,DUIYUYIGEMENGXIANGCHENGWEIMUQINDETALAISHUOYIWEIZHEZAIYEWUYUANBEIJIAOYISHENG“MAMA”。

  PUTONGWAIKEXIUDIANRONGZHURENDAILINGDEYIXIANWAIKETUANDUI,ZHENDUIWANGNVSHIDEBINGQINGJINXINGLEJIJIDESHUQIANJIANCHAHEJIANBIEZHENDUAN,JIEGUOFAXIANZHEIHENYOUKENENGSHIYIZHONGSHIFENHANJIANDEZISHENMIANYIXINGYIXIANYAN,ZUIZHONGMINGQUEBINGBIANXINGZHIHAIXUYAOJIEZHUBINGLIXUEZHENDUAN。ZHEIDUIHUANZHEHEJIASHULAISHUOSHIYIGEHENHAODEXIAOXI,RANER,BAIZAIXIUDIANRONGZHURENTUANDUIMIANQIANDEWENTISHI,RUGUOZUOCHUANTONGDEYISHIERZHICHANGQIECHUSHU,WULUNCONGSHOUSHUANQUANJIAODU,HAISHICONGSHUHOUHUIFULAISHUODOUGENGWEIWENTUO,DANZHEIYANGDESHOUSHUDUIYUBENJIUCUNZAISHENGYUWENTIDEWANGNVSHILAISHUO,YIWEIZHEJIANGNANSHANGJIANAN。

  MIANDUIHUANZHEJIJIASHUDESHENGYUXUQIU,JIEHECHONGFENDESHUQIANYUPAN,XIUDIANRONGZHURENTUANDUIZHIDINGLEYIGEGENGWEIHELIDESHOUSHUFANGAN:XIANXINGBAOHANZHONGWUZAINEIDEYITOUBUQUDUANQIECHU,SHUZHONGZHUYIBAOHUYIGUANHEDANGUAN,YUANDUANYIXIANNEIZHIRUYIGUANZHIJIA,GENJUSHUZHONGKUAISUBINGDONGDEJIEGUOJUEDINGJINYIBUDESHOUSHUFANGAN。

  XINGYUNDESHI,SHUZHONGBINGDONGJIEGUOTISHI,WEIJIANZHONGLIUXINGBINGBIAN,FEIIgG4XIANGGUANXINGZISHENMIANYIXINGYIXIANYANBUCHUWAI。ZHICI,SHOUSHUTUANDUITONGGUOKAICHUANGXINGDEYONGKONGCHANGXIUFUYIXIANCHUANGMIAN,BINGXINGYICHANGWENHE,BIMIANLECHUANTONGDEYISHIERZHICHANGQIECHUSHU,BAOLIULEHUANZHEDEWEI,DANNANG,DANGUAN,BINGBUXUYAOZUOWEICHANGWENHEHEDANCHANGWENHE,JIANSHAOLEYOUYUXIAOHUADAOGAIDAODAILAIDEBINGFAZHENG。

  HUANZHESHUHOUHUIFUSHIFENSHUNLI,QITIANHUIFUYINSHI,SHUHOUSHITIANCHUYUANLE。JINGGUOGAISHANYINGYANGHUIFUYINSHI,WANGNVSHIJIXUHUIDAOSHENGZHIYIXUEZHONGXIN,WEIHUAIYUNZUOZHUNBEI。

 

技术内容

从“四切三吻合”到“一切一吻合” ——胰头部良性肿物切除新术式【2018 技术创新一等奖】

  1.ZIXIBIANSHIHEBAOHUZHUYIGUAN;BIYAOSHIXINGSHUZHONGCHAOSHENG。

  2.ZHONGLIUBIANJIEJULIZHUYIGUAN2~3mmSHICAINENGBAOZHENGQIEYUANGANJINGBINGQIEBUSHANGJIZHUYIGUAN。

  3.ZHONGLIUDEDAXIAOBINGBUSHIPANDUANZHONGLIUNENGFOUXINGJUBUQIECHUDEJUEDUIZHIZHENG,ERZHONGLIUSUOZAIDEWEIZHI、JIDIQIEMIANDEDAXIAOJIZHONGLIUYUZHUYIGUANDEGUANXIJUEDINGLEZHONGLIUNENGFOUXINGJUBUQIECHUSHU。

  4.SHUZHONGYIXIANCHUANGMIANCHULIYAOQIADANG,DUIYUCHUANGMIANDEXUEGUANHUOXIAOYIGUANDUANDUANJINLIANGXINGJIEZHAHUOFENGZHA;RUGUOYOUMINGQUEDEYIGUANSUNSHANG,YINGJIEZHAJINDUANYIGUAN,YUANDUANYIGUANNEIZHIRENZHIJIAGUAN。

  5.RUGUOSHUQIANYINGXIANGXUEPINGGUZHONGWUYUYIGUANGUANXIBIJIAOMIQIE,KEJINGBINEIJINGXIAYIGUANZHIJIAGUANZHIREN,YOULIYUSHUZHONGPANDUANYIGUANWEIZHI,YOUKENENGJIANGDIYIGUANSUNSHANGFENGXIAN,YEYOUZHUYUPANDUANSHIFOUYOUYIGUANSUNSHANG,DANCICAOZUOSHUYUYOUCHUANG,YOUDAOZHIYIXIANYANDEFENGXIAN,YINCI,XUANZEGAIFANGFASHIYAOCHONGFENQUANHENGLIBI。

 

与传统治疗方法的区别?

从“四切三吻合”到“一切一吻合” ——胰头部良性肿物切除新术式【2018 技术创新一等奖】

  1.KEBAOQUANQIGUANHEGONGNENG,BIMIANSUNSHANGDANDAOXITONG,WANZHENGDIBAOLIUWEI、SHIERZHICHANG;

  2.JINGZHUNJIEPOUYIXIANZHOUWEIZUZHI,ZUIDAXIANDUDIBAOLIUJIANKANGDEYIXIAN,CONGERBIMIANHUOJIANGDILESHUHOUFASHENGTANGNIAOBINGDEFENGXIAN;

  3.YOUXIAOKONGZHISUNSHANG,BIMIANHUOJIANGDILEZHONGLIUJUBUQIECHUSHIYIGUANSUNSHANGZAOCHENGDEYILOU;

  4.JINGZHUN、QUESHIDEYICHANGWENHEZHONGJIANLEYIGUANXIAOHUADAOYINLIUTONGDAO,SHIYIXIANWAIFENMIGONGNENGDEYIHUIFU;

  5.WUXUDANDAOXITONGZHONGJIAN,BIMIANFASHENGDANLOU。

 

此项技术适合哪些患者?

  SHIYONGYUZHONGLIUWEIYUYIXIANTOUJINGBU,ZHONGLIUXINGZHIWEIFEIEXINGDEHUANZHE。

  该术式使外科手术的安全性得到了提高,很好地体现了功能保全、损伤控制的理念。

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