【摘要】 <正> 原发性十二指肠肿瘤的发病率不高,但具有外科临床意义,因过去认为无法治疗,现在可通过胰十二指肠切除(即所谓Whipple氏手术)有效地治疗。1977～1983年,作者收治6例,经手术切除,术后随访最长时间为5年,均健在。报告如下: 临床资料一、病例的诊治情况。(附表) 二、各种诊断方法: 1.低张十二指肠造影;例1:十二指肠弯增大,僵硬不规则,位置形状较固定,降段内侧缘可见一不规则充填缺损突向肠腔,基底更多还原

【Abstract】 Primary tumors of duodenum occur infrequently, but of clinical importance in surgical aspect. This series inclcded 6 cases, all were treated by radical pancreatico-duodenectomy.and the diagnosis were established by pathological sections:4 cases were duodenal adenocarcinoma, I case was malignant lymphomap and another case was a hamartoma.All survived the whipple operation, and tha postoperative course was uneventful. Follow-up for 2 years and 9 months in average (the longest was 5 years and 4 months), without recurrance.with timely diagnosis, aided by fibro-optic endoscope, the prognosis os radical pancreatico-duodenectomy in case of malignant tumors of the duodenum is by far better than the "periampullary" carcinoma originating in the head of the pancreas, for which palliative by-pass surgery wae prefered by some authors.更多还原