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23例中晚期胰头癌临床分析

Clinical Analysis On 23 Cases With Cancer of HeAd Of Pancreas

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【作者】 张新华杨晓荣曾书娥梁石诚

【Author】 ZHANG Xin-hua; YANG Xiao-rong; ZHENG Shu’e; et al (Department of Multitimodality Treatment Hubei Cancer Hospital, Wuhan 430079)

【机构】 湖北省肿瘤医院!武汉430079

【摘要】 我科于1980年12月-1992年3月收治及外出会诊治疗中晚期胰头癌患者23例,均经剖腹探查并病理证实。本组6例行胰头十二指肠切除术,1例局部切除,切除率为30.4%,切除组生存3年以上者4例,生存5年以上者3例,切除率低与病期较晚有关。8例患者作胆道内引流术,4例追加行胃空肠吻合术,3例仅行剖腹探查术,1例作胆囊造疾术,16例不可切除患者平均生存时间5.2月,1年生存率仅18.8%,生存率极低。本文且对其临床特点、B超、CT的诊断价值、如何提高术中病理诊断的阳性率及手术切除率方面作了讨论

【Abstract】 23 Cases with cancer of head of pancreas were treated in our hospital from 1980-1992. All cases were explotal by laporotomy and the diagnsis of all cases were comfirmed by histopathology. Of 23 cases, pancreatoduodenectimy was performed in six cases, local resection in one case, the resectable rate was 30.4%, the lower resectable rate was due to advanced stage in the most of patients. In the non-resection group,the average survival time was 5. 2 months, the one year survival rate was 18. 8 %. The clinical characteristics,the value of diagnosis of ultrosonic wave and CT, how to raise the positive rae of pathology and the resection rate were discussed in this article.

【关键词】 胰头癌临床分析
【Key words】 cancer of head of pancreasclinical analysis
  • 【文献出处】 肿瘤防治研究 ,CANCER RESEARCH ON PREVENTION AND TREATMENT , 编辑部邮箱 ,1999年06期
  • 【分类号】R735.9
  • 【下载频次】21
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