23例胰腺囊性肿瘤诊治体会

Strategy of diagnosis and treatment of pancreatic cystic neoplasms

目的:探讨胰腺囊性肿瘤(PCNs)的诊断与治疗。方法:回顾重庆医科大学附属第二医院及重庆市北部新区第一人民医院2004年5月—2012年5月收治的23例PCNs患者的临床资料,结合国内外相关文献,对PCNs的诊断和治疗经验进行总结。结果:23例患者中男10例,女13例;平均年龄51.2岁。3例位于胰头部,3例位于颈体部,余20例肿瘤位于体尾部。B超和CT对PCNs的诊断正确率分别达到86.96%(20/23)和95.65%(22/23)。23例均行手术治疗,术中切缘冰冻病理切片均为阴性。13例患者随访6～48个月,预后均好。结论:PCNs多发于中老年女性,临床表现尚无特异性。B超、CT、MRI等能提供重要的诊断线索。PCNs的手术切除率高,预后好。

objective：To approach the strategy of diagnosis and treatment of pancreatic cystic neoplasms.Methods：The clinical data of 23 patients with pancrestic cystic neoplasms treated in The First People Hospital of Chongqing new north zone and The Second Afliated Hospital of Chongqing Medical University from May 2004 to May 2012 was reviewed and the pertinent literatures of both domestic and internal were summarized.Results：23 parients （10 male,female 13 cases; The average age of 51.2 years.3 cases located in the pancreatic head,3 cases located in carotid body,20 cases of tumor at the end of the body.Ultrasound and CT in the diagnosis of PCNs accuracy reached 86.96％ （20/23） and 95.65％ （22/23）.23 cases were performed surgical treatment,intraoperative cut edge frozen pathological slices are negative.13 patients were followed up for 6 ～48 months,prognosis is good.Conclusion：The PCNs mostly happen in middle-aged women.The clinical manifestations show no specificity.Ultrasonography,CT and MRI can offer important sign of diagnosis.The rate of surgical resection is high and the prognosis is satisfactory.