【摘要】 目的探讨胰腺囊性肿瘤的临床表现特点、诊断方法和治疗策略。方法回顾性分析2007年4月至2016年6月于浙江大学医学院附属邵逸夫医院行手术治疗的123例胰腺囊性肿瘤患者的临床资料。结果 123名胰腺囊性肿瘤患者中,无临床症状者69例(56.10%),女性患者87例(70.73%),位于胰腺体尾部患者74例(60.16%)。超声检查、CT、MRI、磁共振胰胆管造影(MRCP)、超声内镜检查术(EUS)的诊断准确率分别为85.71%、94.90%、95.65%、100%、100%,五组比较,差异无统计学意义(P>0.05)。胰体尾切除术组手术时间、术后住院时间均较胰十二指肠切除术组短,术中出血量少,输血例数少,差异均有统计学意义(t分别=-11.80、-4.69、-2.81,χ~2=4.10,P均<0.05),但两组术后并发症发生率比较,差异无统计学意义(χ~2=0.17,P>0.05)。结论胰腺囊性肿瘤好发于女性,多位于胰腺体尾部,大多数临床症状不明显,影像学检查诊断率较高,胰体尾切除术较胰腺十二指肠切除术有明显优势。更多还原

【Abstract】 Objective To investigate the clinical features,diagnostic methods and treatment of pancreatic cystic neoplasms.Method The clinical data of 123 patients with pancreatic cystic neoplasms admitted from April 2007 to June2016 in Sir Sir Run hospital were retrospectively analyzed.Results Of the 123 patients,69 cases(56.10%)were diagnosed without clinical symptoms,87 cases(70.73%)of pancreatic cystic neoplasm are female.The tumor is located at the body and tail of the pancreas in 74 cases(60.16%). The accuracy of 85.71%,94.90%,95.65%,100%,and 100% can be achieved by US,CT,MRI,MRCP and EUS on the diagnosis of cystic tumor respectively.The operation time and postoperative hospitalization time of the pancreatic tail resection group were shorter than those of the pancreatic duodenal resection group as well as less bleeding during surgery and less cases of blood transfusion cases(t=-11.80,-4.69,-2.81,χ~2=4.10,P<0.05).There were 16 cases(24.24%)complications in pancreatic resection group and 9 cases(28.13%)in pancreatoduodenectomy,the difference was not statistically significant(χ~2=0.17,P>0.05).Conclusion The majority of patients with pancreatic cystic neoplasms are female with not obvious clinical symptoms.The tumors most locate in the body and tail of the pancreas,and imaging examinations have high diagnostic accuracy.The pancreatic resection of the body is superior to the pancreatoduodenectomy.更多还原