节点文献
胰腺囊性肿瘤的诊断和外科治疗
Diagnosis and Surgical Treatment of Pancreatic Cystic Tumors
【摘要】 目的:探讨胰腺囊性肿瘤的诊断和外科治疗方法。方法:对28例胰腺囊性肿瘤病人的临床资料进行回顾性分析。结果:胰腺囊性肿瘤多无特征性临床表现,影像学检查及确诊率:B超71.4%、CT82.1%和MRI80%。全组手术切除率89.3%。手术后发生胰瘘12例和腹腔感染4例,2例(黏液性囊腺癌和导管内乳头状黏液腺癌各1例)术后2年内死亡。结论:胰腺B超和CT检查是早期发现胰腺囊性肿瘤的最有效方法,积极手术治疗,多数患者可获得较好治疗效果。
【Abstract】 Objective To analyze the diagnosis and surgical therapy of pancreatic cystic tumors.Methods The clinical data of 28 cases with pancreatic cystic tumor were analyzed retrospectively.Results Most of the patients of pancreatic cystic tumor had no specific clinically indentified features.The correct diagnosis rate of ultrasonography,CT and MRI for pancreatic cystic tumors was 71.4%,82.1% and 80% respectively.All patients underwent surgery with a resection rate of 89.3%.The postoperative complications were pancreatic fistulae and celiac infection.All the cases in this group got follow0up visit,two died in two years.There was no postoperative recurrence.Conclusion Pancreatic B-ultrasound and CT scan are two effective methods in the early diagnosis of pancreatic cystic tumor which would be operated actively with satisfactory therapeutic results.
【Key words】 pancreatic cystic tumors; serous cystic neoplasm; mucinous cystic neoplasm; cystadenocarcinoma; therapy;
- 【文献出处】 中国中西医结合外科杂志 ,Chinese Journal of Surgery of Integrated Traditional and Western Medicine , 编辑部邮箱 ,2011年02期
- 【分类号】R735.9
- 【被引频次】3
- 【下载频次】128