232例胰腺癌回顾性分析

Retrospective analysis of 232 cases of pancreatic cancer

目的总结诊疗经验以提高对胰腺癌的认识。方法回顾性分析2007年1月-2013年1月贵阳医学院附属医院收治的232例胰腺癌患者的临床资料,按其时间先后顺序将患者每三年分为一组,共建A、B两组,用统计学方法分析各组数据。同时还对所有患者的流行病学高危因素进行分析。结果术前解除胆道梗阻例数和所耗时间,根治性和姑息性手术例数和所耗时间,以及住院时间,A、B两组进行比较,P<0.005。术前营养支持例数和所耗时间,A、B两组比较,P>0.005。胰腺癌高危因素有吸烟、糖尿病、慢性胰腺炎和胆囊切除术后。结论术前积极准备,可以使根治性手术切除率提高。对有吸烟史、糖尿病、胆囊切除术后患者应注意追踪,尽可能完善检查,以提高诊断率。

[ Objective ] To improve understanding of pancreatic cancer by summing up the experiences of diag- nosis and treatment. [Methods] A retrospective analysis was conducted from January, 2007 to January, 2013 on a total of 232 the patients with pancreatic cancer in the Affiliated Hospital of Guiyang Medical College. Every three years can be divided into a group, to build A, B two groups, using statistical methods to analyze the clinical data. Besides analyzed the epidemiological risk factors for all patients. [ Results ] Comparing with A group and B group, included preoperative relieve biliary obstruction cases and time consuming, radical and palliative operation cases and time consuming, hospital stay, P 〈0.005. But in Preoperative nutritional support cases and time consuming, P 〉 0.005. The epidemiological risk factors of pancreatic cancer include smoking, diabetes, chronic pancreatitis and after cholecystectomy. [ Conclusions ] Active preoperative preparation can make the radical resection rate increase. Pay attention to the patients with smoking, diabetes, patients after choleeystectomy. As far as possible perfect inspection, then to improve the diagnostic rate.