探讨胰腺囊性肿瘤的临床特点及治疗方法

To Investigate the Clinical Characteristics and Treatment of Pancreatic Cystic Tumors

目的研究分析胰腺囊性肿瘤患者的临床治疗方法。方法根据2004年1~12月我院的39例胰腺囊性肿瘤病例进行回顾分析,对患者的诊断、治疗、病理、随访情况等进行分析。结果 39例胰腺囊性肿瘤中,导管内乳头状黏液性肿瘤（IPMN）10例（25.6%）,黏液性囊腺瘤（MCN）7例（17.9%）,浆液性囊腺瘤（SCN）12例（30.8%）,实性假乳头状瘤6例（15.4%）,无功能性神经内分泌肿瘤4例（10.3%）。CT以及MRI可以诊断胰腺囊性肿瘤。39例中手术治疗30例,B超引导下穿刺活检1例,内镜下胰管支架内引流2例,保守治疗6例。胰腺囊性肿瘤术后并发症总发生率为33.3%,无手术死亡病例。对全部患者进行了3~60个月的随访,共有1例术后远处转移,其他均获得一定程度的改善。结论 CT和MRI是胰腺囊性肿瘤患者临床诊断的主要措施,一般治疗及时,患者的预后效果比较好,手术是主要治疗方式,使用较多的是功能保留性手术和腹腔镜手术。

Objective To study the clinical treatment of pancreatic cystic tumor. Methods 39 cases of pancreatic cystic tumor in our hospital from January to December 2004 were retrospectively analyzed, and the diagnosis, treatment, pathology and follow-up were analyzed. Results 39 cases of pancreatic cystic tumor, intraductal papillary mucinous tumors （IPMN） 10 cases （25.6%）, mucinous cystadenoma （MCN） in 7 cases （17.9%）, serous cystadenoma （SCN） in 12 cases （30.8%）, solid pseudopapillary tumor in 6 cases （15.4%）, no nerve functional secreting tumor in 4 cases （10.3%）. CT and MRI can be used in the diagnosis of pancreatic cystic tumors. In 39 cases, 30 cases were treated with operation, 1 cases were guided by B ultrasound, 2 cases were treated by endoscopic pancreatic duct stent, and 6 cases were treated conservatively. The total incidencc of postoperative complications was 33.3%, and there was no operative mortality. A total of patients were followed up for months to 3-60 nlonths, with a total of t cases with distant metastasis, the other were improved to some extent. Conclusion CT and MRI are the main measures for clinical diagnosis of pancreatic cystic tumors. The prognosis of patients with general treatment is good, the operation is the main treatment way, and the function is reserved and laparoscopic operation.