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目的 探讨壶腹周围癌合并糖尿病患者的围手术期处理方法。方法 回顾性总结１９９６～１９９８ 年收治的２９ 例壶腹周围癌合并糖尿病患者的临床资料。结果 全部病例均手术治疗，其中胰十二指肠切除术１９ 例，均严格按糖尿病处理，术前血糖控制在５．３～７．６ｍ ｍ ｏｌ／ Ｌ。围手术期疗效满意率为１００％ ，无手术死亡。结论 加强围手术期的处理可提高壶腹周围癌合并糖尿病患者的手术耐受性，降低术后并发症。
Objective To explore the perioperative management of periampullary carcinoma with diabetes. Methods The clinical data of 29 patients with periampullary carcinoma associated with diabetes admitted from 1996 to 1998 were retrospectively reviewed. Results All cases were treated with surgery, including 19 cases of pancreaticoduodenectomy. All of them were treated strictly according to diabetes. Preoperative blood glucose was controlled at 5.3-7.6 mmol/L. The perioperative response rate was 100%, and no operative death occurred. Conclusion Strengthening the perioperative management can improve the operative tolerance of periampullary cancer patients with diabetes and reduce postoperative complications.