原发性十二指肠乳头肿瘤的诊断与治疗

<title>Diagnosis and treatment of primary duodenal papilla neoplasm

目的 探讨十二指肠乳头肿瘤的诊治方法。方法 回顾性分析64例原发性十二指肠乳头肿瘤的临床资料。结果 64例中十二指肠镜检查38例,发现肿瘤32例(84.2%);ERCP检查51例,确诊49例(96.1%)。良性肿瘤2例,恶性肿瘤62例。胰十二指肠切除46例,其中4例存活4年;乳头肿瘤局部切除11例,恶性肿瘤9例中4例存活4～6年。结论 内窥镜和ERCP检查是诊断本病的主要方法;合理的手术方式是提高十二指肠乳头肿瘤疗效的关键。

<Abstrcat>ObjectiveTo study the diagnosis and treatment of primary duodenal papilla neoplasm(PDPN). MethodsThe clinical data of 64 patients with PDPN were analysed retrospectively. Results Among 38 cases received deodunscopy, PDPN were found in 32 cases (84.2%). Tumors were found in 49 of 51 cases received ERCP. There were 2 cases of benign tumor and 62 of maligancies in this series. 4 of 46 cases survived 4 years after Whipple operation,and 4 of 11 cases underwent lacal resection of PDPN suvived 4～6 years. ConclusionsTEndoscopy and ERCP are main methods for the diagnosis of PDPN; It is essential to use the rationale operation to improve the results of surgical treatment.