摘要
目的探讨胰腺体尾部癌的诊断与治疗.方法回顾性分析我院1983年7月至2004年7月收治的88例经病理证实的胰腺体尾部癌病人的临床资料.结果 88例中,男57例,女31例,上腹部胀痛不适和腰背部疼痛是主要临床症状,B超确诊率为78.4%（69/88）,CT确诊率为84.5%（60/71）.MRI确诊率为87.5%（28/32）.57例病人行手术治疗,其中行胰体尾癌根治性切除20例,行胃空肠吻合4例;^125I粒子置入术1例;剖腹探查活检32例,手术总切除率为22.7%.31例行B超下穿刺活检,未行手术.行胰体尾根治性切除者的1,3,5年生存率分别为70%（14/20）,30%（6/20）,15%（3/20）.结论胰腺体尾部癌病人预后差,改善预后的关键在于早期诊断,提高根治切除率.
Objective To explore the diagnosis and treatment ot carcinoma ot the pancreatic body and tail. Methods The clinical data of 88 patients with pathologically proven carcinoma of the pancreatic body and tail treated in our hospital from July 1983 to July 2004 were retrospectively analyzed. Results Of the 88 patients, 57 were male and 31 female. Upper abdominal pain and waist pain were the major complaints. The diagnostic rate of Ultrasonography, CT, MRI was 78.4%, 84.5% and 87.5%, respectively. Fifty-seven patients received surgical treatments including radical distal pancreatectomy in 20, gastrojejunostomy in 4, permanent implantation iodine-125 seeds in 1, laparotomy and biopsy in 32. The rate of total excision was 22.7%. Thirty-one patients underwent US-guided needle biopsy. The 1-, 3- and 5-year survival rates in those undergoing radical distal pancreatectomy were 70% （14/20）, 30% （6/20） and 15% （3/20）, respectively. Conclusions The prognosis of carcinoma of the pancreatic body and tail is poor. The key for improvement of its prognosis is early diagnosis and higher rate of radical resection.
出处
《中华肝胆外科杂志》
CAS
CSCD
2006年第5期330-332,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
胰腺肿瘤
诊断
治疗
Pancreatic neoplasm
Diagnosis
Treatment
