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保留十二指肠的胰头切除术治疗胰腺囊腺癌 被引量:8

Cystadenomas of the pancreas and duodeno-preserving pancreatomy
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摘要 目的 :探讨胰腺囊腺癌的临床特点和治疗策略。方法 :回顾分析 8例胰腺囊腺癌病人的诊断过程和治疗方法。结果 :8例病人中肿瘤位于胰头颈部 5例 ,体尾部 3例 ;保留十二指肠的胰头切除术 4例 ,胰头十二指肠切除术 1例 ,胰体尾联合脾切除术 1例 ,有 2例行囊肿内引流及外引流术 ,平均随访 12 .4个月 ,未切除肿瘤病人生存时间分别为 6个月和 10个月。结论 :胰腺囊腺癌的诊断困难 ,了解其临床及术中特点有助于减少误诊 ,治疗方法以局部切除为好。 Objective:To discuss the clinical features and treatment strategy of cystadenomas of the pancreas.Methods:Eight patients with cystadenomas of the pancreas were reviewed retrospectively.Results:Eight patients presented upper abdominal pain,one with obstructive juandice. There were 5 tumors in the head and neck of the pancreas,other 3 patients in the tail and body of the pancreas. Duodeno preserving pancrectomy was performed in 4 patients,pancreatoduodenectomy in one patient,resection of pancreatic body and tail in one patient,internal and external drainage of pancreatic cyst in two patients. The average follow up period was 12.4 months. There were two deaths.Conclusion:The diagnosis of cystadenomas of the pancreas is difficult,so understanding of the clinical and operative features can reduce misdiagnosis,and the best treatment is local resection.
出处 《肝胆胰外科杂志》 CAS 2002年第2期89-91,共3页 Journal of Hepatopancreatobiliary Surgery
关键词 胰腺囊腺癌 诊断 外科手术 治疗 cystadenocarcinom of pancreas diognosis surgery
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  • 1姜广杰.胰腺囊腺癌的临床和病理[J].国外医学:外科学分册,1985,(5):268-271.
  • 2姜广杰,国外医学.外科学分册,1985年,5期,268页

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