摘要
为提高胰头及壶腹部癌的疗效,总结了97例胰十二指肠切除术(PD)治疗胰头及壶腹部癌的诊治经验。癌肿切除率为344%,手术并发症发生率为384%,手术死亡率为113%,术后1、3和5年生存率分别为688%、431%和300%。认为要提高本病早期诊断率,必须对可疑高危病人提高警惕,首选B超检查,B超和ERCP两项联合检查可提高本病早期诊断。
he author summarized ninety-seven cases of carcinoma of Ampulla of Vater and head of pancreas treated with pancreatoduodenectomy in order to investigate how to increase the curative effect of the carcinoma.In this series,the resection rate was 34.4%,the complication rate was 38.4%,and the operative mortality was 11.3%.The one,three,and five year postoperative survival rate were 68.8%,43.1% and 30.0% respectively.the author suggests that the early diagnosis of the carcinoma should be established in alert to the dangerous population.US selection or US combined with ERCP can increase the early diagnosis rate.The methods that can decrease the mortality and increase the diagnosis rate during operation were also discussed in this article.
出处
《中国实用外科杂志》
CSCD
北大核心
1998年第7期399-401,共3页
Chinese Journal of Practical Surgery
关键词
胰十二指肠切除
胰头肿瘤
壶腹部肿瘤
carcinoma of ampulla of vater,head of pancereas,pancreato-duodenectomy