摘要
目的 探讨胰腺癌的早期诊断与外科处理.方法 回顾分析24例胰腺癌诊断和治疗情况.结果 24例胰腺癌中,胰头癌19例,胰体尾癌5例;经B超、CT诊断24例,MRI 18例,MRCP8例,RECP 12例,DSA 3例,IOUS 11例,FNAB 17例;根治性切除4例,胆囊空肠内引流术 13例,附加胃空肠吻合术6例,胆囊空肠双造口4例,瘤体内注射无水乙醇6例,胃十二指肠动脉区域化疗8例,PTCD 3例.术后胰瘘1例,疼痛缓解 18例,黄疸减退/消失 14例,死亡 1例,其余术后恢复良好.结论 可疑胰腺癌患者,联合运用影像学、肿瘤标记物、穿刺检查等方法,才能提高早期诊断率.恰当的外科处理,术后辅助性区域放、化疗和免疫调节治疗,是提高胰腺癌患者生存期、降低术后并发症和病死率的必要措施.
Objective: To discuss the early diagnosis and surgical treatment for pancreatic carcinoma. Methods: Diagnosis and treatment of pancreatic carcinoma were analysed retrospectively. Results: Among 24 patients of pancreatic carcinoma, 19 were pancreatic head carcinoma,5 were pancreatic body or tail carcinoma; 24 were diagnosed with B-US and CT,18 with MRI,8 with MRCP,12 with EPCP,3 with DSA,11 with IOUS,17 with FNAB;4 were performed radical resection,13 were performed cholecystojejunostomy,6 of 13 cases were performed extra gastrojejunostomy;4 were performed cholecystendysis and jejunostomy,6 were treated with injecting pure ethanol into tumor,8 were cannulated into gastrodudenol artery for regional chemotherapy, 3 were perfomed PTCD. 1 got pancreatic fistula postoperatively,pain was alleviated among 18 cases,jaundice were alleviated or disappeared in 14,1 was dead,the others got well. Conclusion: Improving early diagnosis on pancreatic carcinoma,treating it rationally,performing adjuvant regional radiotherapy and/or chemotherapy as well as immunotherapy are all necessary measures that can improve the survival period of the patients and decrease the complication and mortality postoperatively.
出处
《中国现代普通外科进展》
CAS
2000年第1期42-44,共3页
Chinese Journal of Current Advances in General Surgery
关键词
胰腺肿瘤
诊断
外科学
Pancreatic neoplasms
Diagnosis
Surgery