摘要
壶腹部癌是胆道系统常见肿瘤之一,因其解剖位置特殊,患者往往早期出现症状时即可就诊,故手术切除率较高。近年来随着辅助检查技术的发展和手术观念的改变,其诊断率和手术切除率较前有所提高,但检查及手术方式的选择、术后病死率及并发症发生率较高仍是临床亟待解决的问题。本文对壶腹部癌的临床表现、诊断、治疗等作一综述。
出处
《中国临床实用医学》
2014年第6期76-78,共3页
China Clinical Practical Medicine
同被引文献15
-
1Bosman FT, Carneiro F, Hruban RH, el ah Worhl Health Organ- ization classifi('a/ion of lunlours. Palholo~' and genetics of turnouts of the digestive system[ M ]. 4th ed. Lyon : IARC Press,2010:81-92.
-
2Westgaard A, Tafjord S. Farstad IN, el al. l'ancreatobiliaL'y ver- sus intestinal histologic type of differentiation is all independent prognostic factor in reseeted periampullaly adernwarcinoma [ J ]. BMC Cancer,2008,8:170. DOI: I0.1186/1471-2407-8-170.
-
3Chung YE, Kim MJ, Park MS, et al. Dift~rential features of para- ereatobilia~- and intestinal-type ampullary cart.thomas at MR ima- ging[ J]. Radiology ,2010,257 (2) :384-393. DOI: 10. 1148/ra- diol. 10100200.
-
4C, uibaud L, Bret PM, Reinhold C, et al. Bile duct ohstruction and choledocholithiasis: diagnosis with MR cholangiography [ J ]. Radiolo~,1995, 197 ( 1 ) : 109-115. DOI: 10. l148/radiology. 197.1. 7568807.
-
5Park HS, Lee JM, Choi JY, et al. Preoperative evaluation of bile duet cancer: MRI combined with MR cholangiopancrcatography versus MDCT with direct cholangiography [ J ]. AJR Am J Roentgeno1,2008,190 (2) :396-405. DO1:10.2214/AJR. 07.2310.
-
6Lee HY, Kim SH, [,ee JM, et al. Preoperative assessment of re- seetability of hepatic hilar cholangioearcinoma: combined CT and cholangiography with revised criteria [J]. Radiology, 2006,239 ( 1 ) : 113-121. DOI : I0.1148/radiol. 2383050419.
-
7Chu P(,, Schwarz RE, I,au SK, el al. hnmunohistochemical stai- ning in the diagnosis of panereatobiiiary and ampulla of Valer adc- nocarcinoma: application of CDX2, CKI7, MUCI, and MUC2 J ]. Ant J Surg Patho1,2005,29 ( 3 ) :359-367.
-
8Kimura W, Futakawa N, Yanmgata S, eta[. Different clinieopath- ologic findings in two histologic types of carcinoma of papilla of Va- ter[J]. Jpn J Cancer Res,1994,85(2) :161-166.
-
9Henson DE, Schwartz AM, Nsouli H, el al. Careinonms of the pancreas, gallbladder, extrabepatie bile duets, and ampulla of va- let share a fieht fi~r carcinogenesis: a population-based study [ J ]. Arch Pathol Lab Med, 2009, 133 ( 1 ) :67-71. DOI: 10. 1043/ 1543-2165-133.1.67.
-
10Kamisawa T, Ando H, Shimada M, et al. Reeent advanves and problems in the managemen! of panereatieobiliary maljunelion: feedbaek from the guidelines committee[J]. J Hepatobiliary I:'anereat Sei ,2014,21 ( 2 ) :87-92. DOI: 10. 1002/jhbp. 8.
二级引证文献4
-
1王小平,张建,王玉涛,丁前江,汪建华.腹腔脏器外淋巴管瘤的影像学特征[J].中华消化外科杂志,2017,16(7):752-758. 被引量:7
-
2冯永恒,郑泽群,刘霜月,赵有才,杨坤兴,席鹏程.Vater壶腹部腺癌的病理分型及临床特征分析[J].临床肝胆病杂志,2020,36(5):1104-1108. 被引量:6
-
3梁思武,李大创,林莹,曹理政,卢璐.MRCP联合MRI多模态成像在肠型和胰胆管型壶腹周围癌中的鉴别诊断[J].微创医学,2023,18(1):66-69. 被引量:1
-
4王俊霞.CT与增强CT在诊断腹部肿瘤腹腔转移中的临床意义[J].首都食品与医药,2019,26(1):58-59. 被引量:1
-
1邓洪林,单治堂.胰十二指肠切除术主要并发症的防治[J].中国现代医学杂志,1993,3(3):48-48.
-
2唐养泉,刘根寿.保留胃幽门的胰十二指肠切除术治疗壶腹部癌一例[J].苏州大学学报(医学版),1989(4):319-319.
-
3石学林,黄广升.急性重症胰腺炎的诊断与外科治疗[J].中国医药导报,2006,3(5):24-25. 被引量:1
-
4王海龙,孙宏治,陆航,付晓光.胰头十二指肠切除术的治疗体会[J].中国医药导报,2006,3(17):51-52.
-
5杨春鹿,许顺,杨志山,胡永校,殷洪年,赵惠儒,陈东义,张林.肺血管瘤的诊断与外科治疗[J].中国医科大学学报,1992(S1):111-112.
-
6阎智勇,孔凡民.残胃癌与残胃复发癌的早期诊断与外科治疗[J].中国医药导报,2006,3(12):42-43. 被引量:1
-
7赵百亲,董爱强,陈如坤.胸内巨大实质性肿瘤的诊断与外科治疗[J].中华肿瘤杂志,2008,30(9):709-711.
-
8石彬,刘海山,葛炳生,赵凤瑞,赵洪昌,张伟.食管裂孔疝合并返流性食管炎的诊断与外科治疗(附7例病例分析)[J].中日友好医院学报,1992,6(4):285-287.
-
9梁锦森.胰十二指肠切除术15例分析[J].交通医学,1994(2X):168-169.
-
10石彬,葛炳生,赵凤瑞,赵洪昌,刘海山,张伟.肺大疱的诊断与外科治疗[J].中日友好医院学报,1992,6(1):37-39.