摘要
１９９０年１月至１９９８年３月收治十二指肠乳头肿瘤６８例。Ｂ超和ＣＴ检查诊断阳性率（基本准确）分别为６５５％、８０９％。ＥＲＣＰ检查４３例，全部确诊。５８例施行手术治疗，病理检查４３例均为腺癌，周围组织浸润和远处转移与肿瘤的大小无明显关系。主要手术方式：胰十二指肠切除４２例（其中保留幽门９例），切除率７２４％，乳头肿瘤切除及乳头括约肌成形术１例，姑息性手术１５例。术后主要并发症有应激性溃疡７例（１２１％），胃潴留４例（６９％）。十二指肠乳头肿瘤多为腺癌，内镜检查是主要诊断手段。
bjective To introduce clinical experience in the surgical treatment of duodenal papilla tumor.Method 68 patients (mean age,57 years old) with duodenal papilla tumor from January 1990 to March 1998 were studied retrospectively.Results The diagnosis rate (basic accuracy) of B model ultrasonography and CT was 65.5%(36/55 cases) and 80.9% (38/47 cases) respectively.The diagnosis rate of ERCP was 100% (43/43 cases).58 of 68 patients were treated surgically.There were 43 patients receiving pathological examination,which were duodenal papilla adenocarcinoma totally.The infiltration and distant metastasis of adenocarcinoma had no evident relation with the size of carcinoma.42 patients were operated on with pancreato-duodenectomuy (including pyloric preservation procedure of 9 cases,the rate of resection:72.4%),one patient with the local rsection of papilla adenocarcinoma and papillosphincterotomy.15 patients with advanced cancer underwent different palliative procedure.Main complications of postoperation had 7 patients with stress ulcer (12.1%),4 with gastric retention (6.9%),etc.Conclusion Most of duodenal papilla neoplasm is adenocarcinoma.The diagnosis of deodenal papilla neoplasm can be accurately made with endoscopy.Pancreatoduodenectomy should be energetically performed in the surgical treatment of doudenal papilla adnocarcinoma.
出处
《中国实用外科杂志》
CSCD
北大核心
1998年第7期406-408,共3页
Chinese Journal of Practical Surgery
关键词
十二指肠肿瘤
胰十二指肠切除
十二指肠乳头
duodenal papilla neoplasm,pancreatoduodenectomuy,papillosphincter tomy,stress ulcer
