原发性十二指肠腺癌

[WT5”HZ]Primary Duodenal Adenocarcinoma

目的 提高原发性十二指肠腺癌的诊治水平。方法 文献综述。结果 原发性十二指肠腺癌发病率低 ,临床表现缺乏特殊性 ,胃肠X线钡餐造影和内窥镜检查是最有效的诊断措施 ,准确性分别为 88%和 89% ,手术切除可获得治愈的机会 ,手术类型的选择取决于肿瘤部位和分期 ,根治性切除和肿瘤分期是重要的预后因素。结论 原发性十二指肠腺癌的早期诊断和合理手术 ,是提高切除率、改善治疗效果的主要途径。

Objective To improve the diagnosis and treatment of primary adenocarcinoma of the duodenum. [WT5”HZ]Methods Literatures were reviewed.[WT5”HZ]Results The morbidity of primary duodenal adenocarcinoma was low and its clinical manifestation had no characteristics.The most effective methods in the diagnosis of the disease were gastrointestinal radiography and endoscopy with the accuracy of 88% and 89% respectively.The disease could be cured by resection of the lesion. The selection of operative type depended on the stage and position of the tumor.Radical resection and tumor stage played an important role in the prognosis.[WT5”HZ]Conclusion Early diagnosis and rational operation are the major ways to improve the resectability and to modify the therapeutic result. [WT5”HZ]