摘要
目的 探讨十二指肠乳头肿瘤的诊断与治疗。方法 分析 1977～ 1999年经手术和病理检查证实的十二指肠乳头肿瘤 2 2例的临床资料。结果 十二指肠乳头癌 17例 ,十二指肠乳头状瘤 5例。常见的临床表现为上腹隐痛不适 (16例 )和黄疸 (2 2例 )。钡餐 ,B超 ,CT以及ERCP对十二指肠乳头肿瘤有诊断价值。 2 2例中 19例行胰十二指肠切除术 ,3例行肿瘤局部切除术 ,切除率为10 0 %。 15例十二指肠乳头癌得到随访 ,随访率为 88 2 % ,5年生存率为 73 3 % ,7年生存率为46 7%。结论 十二指肠镜、ERCP是诊断本病的可靠方法 。
Objective To study the diagnosis and treatment of duodenal papilla tumor (DPT). Methods Analyses were made on the clinical data of 22 patients with DPT proved by operation and pathology from 1977 to 1999. Results There were 17 patients with duodenal papillary carcinoma, 5 with duodenal papilloma in this series. Discomfort of the upper abdomen (16 cases) and jaundice (22 cases) were the main symptoms. Barium meal examination, BUS, CT and ERCP were very useful in the diagnosis of DPT. In this series, 19 of 22 patients received pancreaticoduodenctomy, and 3 received local reseciton, the resection rate was 100%. 15 patients (88.2%) were followed up, the 5 years survival rate was 73.3%, 7 years survival rate was 46.7%. Conclusions Duodenoscope and ERCP are credible methods for diagnosis of this disease, resection is the main way of treatment.
出处
《中国普通外科杂志》
CAS
CSCD
2001年第4期347-349,共3页
China Journal of General Surgery
关键词
十二指肠肿瘤
诊断
治疗
瓦特氏壶腹
腺癌
DUODENAL NEOPLASMS/diag
DUODENAL NEOPLASMS/ther
VATER PAPILLA
ADENOCARCINOMA/diag
ADENOCARCINOMA/ther
