ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ NỘI KHOA CHẤN THƯƠNG THÂN ĐUÔI TỤY

Abstract

Study aim: Restrospective study to evaluate clinic features and the results  of medical treatment of injury to the neck, body, tail of the pancreas. Patient  and method: Retrospective study. Time: Jannuary 2011-december 2016. Results: There were 28 patients of pancreatic injury were observed in Việt-Đức hospital. The mean age was 32,7, male 82,1%, female 17,9%. Reasons for pancreatic traumatisme: Traffic accident 60,7%, Labour accident 14,3%, others 25%. Abdominal CTScaner  was performed in all the patients (100%) and detected  the pancreatic lesions in 28 patients (100%). There were 22/28 patients (78,6%) had good result, 8 patients had pancreatic pseudocyst post traumatism, of them, 6 patients  were operated by internal drainage (anastomosis gastro- pancreatic pseudocyst);2 others patient had smal pseudocyst (< 3cm), and had no clinic symptom  were observed. The  the average duration  of hospital stay:14,39 ± 16,93 (day). Conclusion: We conclude that. - Pancreatic Injury to the left of superior mesenteric artery (include: neck, body, tail of pancreas) had good results by medical treatment and observation. The successful propotion is 78,6% (of 28 patients with grade I, II, III of pancreatic injury arcording to AAST). - The pancreatic injury could become pancretic pseudocyst post medical treatment. (all the position: neck,body, tail of pacreas). Good results could be obtained  by  performing  gastro-pancreatic pseudocyst annastomosis (about 2 months post injury). in our study, 6 of 28 patients had pancreatic pseudocyst post medical treatment. (of them: 3 patients had neck pancreatic injury, 2 patients had body pancreatic  injury,1 had tail injury) All of them had gastro-pancreatic pseudocyst   anastomosis operation and had good results. - The average hospital duration:14,39±16,93(day). - There was no death post operation.