摘要
目的总结胰头癌的外科疗效,探讨提高胰头癌疗效的综合治疗方法。方法回顾性总结、分析172例胰头癌病人的临床资料及外科疗效,并总结同期106例壶腹周围癌(除外胰头癌)的外科疗效。结果29例胰头癌行根治性切除,切除率为16.9%,切除术后1、3、5年存活率分别为61.5%、26.9%、3.8%,中位生存期为14.6个月;未行手术切除者中位生存期为5.7个月。61例壶腹周围癌(除外胰头癌)行根治性切除,切除率为57.5%(61/106),术后5年生存率为26.9%。结论提高胰头癌的手术切除率有望延长病人的生存期,改进、规范胰头癌术式可提高胰头癌的手术切除率和术后长期生存率。
Objective To summarize the eHicacy of surgical treatment for pancreatic head adenocarcinoma （PHAC） and investigate the comprehensive methods to improve the therapeutic efficacy. Methods The clinical data of 172 patients with PHAC surgically treated in our hospital were retro spectively analyzed. The efficacy of surgical treatment in 106 cases of periampullary adenocarcinoma （excluding PHAC） was determined. Results The resection rate was 16. 9% in the patients （29/ 172）. The patients receiving surgical resection had a mean survival time of 14.6 months. For these patients, the 1-, 3- and 5-year survival rates were 61.5%, 26.9% and 3.8%, respectively. Those patients without surgical resection had a mean survival time of 5.7 months. The resection rate of periampullary ad na was 57. 5% （61/106） and the 5-year survival rate in patients with surgical re Conclusions Promotion of the resection rate of PHAC may prolong the survival Radical resection for PHAC rationally increases the resection and long-term sursection was 26.9%. time of the patients. vival rates.
出处
《中华肝胆外科杂志》
CAS
CSCD
2006年第2期92-94,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
胰腺肿瘤
外科治疗
疗效
Pancreatic neoplasms
Surgical treatment
Therapeutic efficacy
