摘要
目的探讨胰腺癌合并胆总管十二指肠瘘(choledochoduodenal fistula,CDF)患者的临床特点。方法回顾性分析9例胰腺癌合并CDF患者的临床资料,并总结胰腺癌并发CDF的原因,诊断及治疗。结果9例患者中误诊者6例,占66.7%;同时合并胆石症者6例,占66.7%。9例患者中行手术探查者6例,其中仅1例行胰十二指肠切除术,占全组11.1%。全组随访1~14个月,非根治术者中位生存期为3.6个月。结论胰腺癌合并CDF患者病情重,死亡率高,获得良好预后的关键仍取决于早期明确诊断。
[Objective] To explore the clinical features of choledochoduodenal fistula (CDF) associated with pancreatic cancer. [Methods] Clinical information about 9 cases of CDF associated with pancreatic cancer were analysed retrospectively to summarize pathogenesis, diagnosis measures and treatment methods. [Results] Among all the patients, 6 (66.7%) patients were misdiagnosed, 6 (66.7%) patients were combined with cholelithiasis. 6 patients wero performed laparotomy, only one patient was operated on pancreato-duodenectomy, the radical cure rate was 11.1%. The follow-up with all the patients were made from one month to fourteen months, the median survival time of the patients without radical operation was 3.6 months. [Conclusion] The patients with CDF associated with pancreatic cancer have severe situation and high mortality, and the favourable prognosis may be depended on early accurate diagnosis.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第11期1386-1388,1392,共4页
China Journal of Modern Medicine
关键词
胰腺癌
胆总管十二指肠瘘
误诊
影像学诊断
pancreatic carcinoma
choledochoduodenal fistula
misdiagnosis
image diagnosis