【摘要】 目的 探讨闭合性十二指肠损伤诊断和手术方式的选择。方法 回顾性分析本院1997-2007年收治的36例十二指肠损伤诊治经过。结果 36例患者术前确诊6例，术中确诊30例，治愈32例，治愈率为88.9%。结论 合理的手术方式是治疗十二指肠损伤的重要措施，早期手术和有效的十二指肠减压是影响预后的主要因素。

    【关键词】 十二指肠损伤；诊断；外科治疗

    Diagnosis and surgical treatment for closed duodenal injury YANG Ke,ZHAOYu-ting,RENG Wu.Department of Abdominal Surgery,The CentralHospital of Nanyang, Henan 473009,China

    【Abstract】 Objective To explore the diagnosis and surgical approach in patients suffering from duodenal injuries.Methods The clinical data of 36 cases of duodenal injury in our hospital from 1997 to 2007 were summarized retrospectively.Results Six patients were diagnosed preoperatively,and 30 cases were diagnosed in operation.32 cases were cured(88.9%). Conclusion Simple and reasonable surgical procedure plays a important role in management of duodenal trauma.Early operation and effective decompression of the duodenum are the major factors for prognosis.

    【Key words】 Duodenal injury;Diagnosis;Surgical treatment

    十二指肠复杂的解剖部位 ......