胰腺囊性肿瘤15例的外科治疗

Surgical treatment of pancreatic cystic tumors of 15 cases

回顾分析了 1987年 1月 12日～ 2 0 0 4年 1月 17日外科治疗 15例胰腺囊性肿瘤患者的临床资料。其中术前诊断率 60 0 % ( 9/15 ) ,手术切除率 73 3 % ( 11/15 ) ,术后 7个月～ 16年随访率 80 0 % ( 12 /15 ) ,无复发者 83 3 % ( 10 /12 ) ,2例黏液性囊腺癌术后 6及 8年仍健在。分析结果提示 ,根据临床表现、影像学检查 (B超、CT)、实验室检查、囊内液肿瘤标记物、酶及细胞学检查综合分析 ,可提高诊断率 ;本病手术切除率及治愈率较高 ,应采取积极的外科治疗措施。

The clinical features of 15 cases with pancreatic cystic tumor were reviewed from 1987.1.12 to 2004.1.17, in which, 60.0% (9/15) were correctly diagnosed preoperatively, 73.3% (11/15) performed tumor resection, 80.0% (12/15) obtained postoperative follow-up. Recurrence was not found in 83.3% (10/12), with 2 cases with mucinous cystadenocarcinoma survived 6 and 8 years after operation respectively. The result shows that integrated data from the clinical presentation, imaging, laboratory test, tumor marker in the cystic fluid, and enzymology and cytology test make higher correct diagnosis rate possible. Surgery can provide high resection and curative rate for this disease and so positive surgical treatment should be encouraged.