摘要
目的探讨十二指肠乳头癌的诊断及治疗效果。方法回顾分析3年来收治的3例十二指肠乳头癌患者的临床资料。黄疸3例,均无上腹疼痛。所有患者行B超、CT、MRCP检查,其中2例行ERCP检查。2例行胰十二指肠切除术,1例行肿瘤局部切除。结果随访3例,最长者已3年余,目前患者均无瘤存活。结论 ERCP加活检是该病的主要诊断手段,根治性手术是主要的治疗措施,对肿瘤直径较小且无远处转移者可行肿瘤局部切除术。
Objective To analyze treatment and relative factors of prognosis of tongue cancer.Methods 68 patients operated and followed up after surgery from Aug,2000 to Aug,2005 were involved in this research.Results Survival rate of tumor in the body of tongue was higher than that of the base of tongue;clinical stage is relevant to prognosis;the prognosis of patients whose node metastasis was positive was worse than the patients of negative node metastasis;whether patients under excision of mandible or not,the survival rate of the two groups was no significant difference;The increase of the safety margin reduced the recurrence of cancer.Conclusion Radical neck dissection is necessary whether the nodes metastasis was positive or not;the early diagnose and treatment are essential to increase the survival rate;the preserve of the mandible and the repair with flaps are helpful to increase the quality of life.
出处
《海南医学》
CAS
2011年第10期109-110,共2页
Hainan Medical Journal
