摘要
目的 探讨十二指肠乳头肿瘤的诊断及采取局切除的可行性及合理性。方法 回顾性分析近 9年来行局部切除治疗的 12例十二指肠乳头肿瘤患者临床资料。结果 10 0 %以黄疸为主要症状 ,常伴有上腹隐痛不适。术前十二指肠镜活检对十二指肠乳头肿瘤的阳性诊断符合率为 75 .0 %。全无手术死亡。 83 .3 %的病例获随访 1～ 5年 ,良性肿瘤 5例术后均恢复原工作 ,T1 期高分化腺癌 4例术后存活至今 ,分别达 62 ,3 1,84,3 6个月。结论 十二指肠乳头肿瘤局部切除术对于良性乳头肿瘤及T1 期高分化腺癌 ,是一种安全、有效、合理术式的选择 ,但术中严格要求完整切除 ,边缘无瘤残留。
Objective To evalute the diagnosis and the availability of local excision for the duodenal papilla tumor(DPT).Methods The clinical data of 12 patients with DPT treated by local excision in recent 9 years were retrospectively analysed.In this series,jaundice presented in 100% of patients and always accompanied with abdminal pain.Results There was no operation death in this seties.The preoperative diagnostic rate by biopsy was 75.0%. Ten patients(83.3%)were followed up for 1-5 years,5 patients with benign tumor were survival well.Four patients with early stage T 1 DPT were still survival for 62,31,84and 36months, respectively.Conclusions The indications of local excision for DPT include benign papillary tumor smaller<2cm and early stage T 1NoMo ampullary adenocarcinoma. The local resection for ampullary tumor is a safty,effictive and rationale method,but the tumor should be resected totally,and no tumor cells residual at the resective margin.
出处
《中国普通外科杂志》
CAS
CSCD
2004年第6期435-437,共3页
China Journal of General Surgery
