摘要
目的探讨胰腺囊腺瘤和囊腺癌的诊断和治疗方法。方法回顾性分析近8年收治的均经手术和病理检查证实的21例胰腺囊性肿瘤患者的临床资料。结果胰腺囊性肿瘤好友于中青年女性，临床表现多为病程较长的上腹部肿物和胀痛。胰腺囊腺瘤16例，均经手术切除，胰腺癌5例，手术切除4例。肿瘤位于头颈部者5例，行胰十二指肠切除2例；胰颈节段切除＋胰空肠吻合2例，开腹探查肿瘤活检1例；位于胰体、尾者16例中行保留脾脏的胰体、尾切除3例，胰体、尾切除及脾切除10例，胰体、尾切除＋左上腹联合脏器切除3例。术后主要并发症胰瘘2例（9．5％），均治愈。结论胰腺囊腺瘤和囊腺癌无特征性临床表现，主要依据上腹部肿物及影像学检查发现。其手术切除率较高，顸后较好，应采取积极的外科治疗，首选手术方式为包括部分胰腺组织的全肿瘤切除。
Objective To study the diagnosis and treatment of pancreatic cystadenoma and cystadenocarcinoma. Methods The clinical data of 21 surgically treated patients of the cystic neoplasms of pancreas（CNP） ,confirmed by pathology, in recent 8 years were retrospectively analyzed. Results CNP was more frequently seen in young to middle-aged women. Upper abdominal mass and abdominal distention and pain were the main clinical presentations. The CNP resection rate was 95% （ 100% and 80% in benign and malignant CNP respectively ）. Of the 21 cases,pancreaticoduodenectomy and distal pancreatectomy were performed in 2 and 16 respectively;and middle segment pancreatectomy in 2 patients. Postoperative pancreatic fistula was the leading complication. Conclusion CNP have no clinical characteristics. Uhrasonography and CT could be helpful to the diagnosis of CNP. The resection of the whole tumor with part paratumor pancreas tissue is advocated.
出处
《中国综合临床》
北大核心
2008年第5期483-485,共3页
Clinical Medicine of China
关键词
胰腺囊腺瘤
胰腺囊腺癌
Pancreatic cystadenoma
cystadenocarcinoma
