摘要
目的探讨十二指肠乳头部肿瘤的临床特点,诊断方法和治疗选择。方法回顾性分析1983年12月至2006年5月,25例乳头部肿瘤临床资料。结果腹痛、黄疸和复发性胆管炎发生率分别是84%,80%和48%。术前十二指肠镜活检与术后病理诊断符合率80%。手术并发症发生率20%,手术病死率4%。恶性病变局部切除5年存活率28%。结论腹痛、黄疸和复发性胆管炎是乳头部肿瘤的主要症状。十二指肠镜检是诊断的主要方法。选择性局部切除是有效治疗措施。
Objective To investigate the clinical features, diagnostic methods and treatment choice for the major duodenal papilla tumors. Methods The clinical data of 25 patients with the major duodenal papillary tumor treated in our hospital from December1983 to May 2006 were retrospectively analyzed. Results The morbidities of abdominal pain, jaundice and recurrent cholangitis were 84%, 80% and 48%, respectively. Correspondent rate for preoperative duodenal endoscopic biopsy and post-operative pathologic diagnosis was 80%. The operation complication rate was 20% and the operation mortality was 4%. The 5-year survival rate of local resection for malignant tumor was 28%. Conclusions Abdominal pain,jaundice and recurrent cholangitis are the main symptoms of the major duodenal papillary tumor. Duodenal endoscopy is the principal diagnostic method. Local resection is an effective therapeutic modality.
出处
《肝胆外科杂志》
2008年第2期121-122,共2页
Journal of Hepatobiliary Surgery
关键词
十二指肠乳头
肿瘤
诊断
治疗
major duodenal papilla
tumor
diagnosis
treatment
