摘要
目的探讨胰腺囊性肿瘤的诊断和外科治疗。方法对2001年9月至2008年9月我院收治的23例胰腺囊性肿瘤病人的临床资料进行回顾性分析。结果胰腺囊性肿瘤多无特征性临床表现。B超和CT诊断正确率分别为48％（11／23）和61％（14／23）。本组23例均行手术治疗，其中，肿瘤切除术13例（其中4例因术后病理为恶性，3例再次行胰腺节段切除术，1例行胰十二指肠切除术），胰十二指肠切除术3例（1例术前拟诊为囊腺瘤，术中发现粘连浸润明显，快速冰冻提示恶性而术中加行胰十二指肠切除术），远端胰腺并脾脏切除术5例，胰腺节段切除术2例。术后病理示15例囊腺瘤，8例囊腺癌。胰瘘是主要的并发症。本组23例获随访，3例因其他疾病死亡，其余均健在，术后无复发。结论B超和CT是胰腺囊性肿瘤主要影像学检查方法。本病均需手术治疗，通过正确诊断和积极手术治疗可达满意疗效。
Objective To analyze the diagnosis and surgical therapy of pancreatic cystic tumor. Methods A retrospective analysis was made on the clinical data of pancreatic cystic tumor from Sep 2001 to Sep 2008 patients with 23 cases. Resluts Most of the patients of pancreatic cystic tumor had no specific clinical indentified features. The diagnositic accuracy of B ultrasonic examination and computer tomography（CT） was 48% （11/23） and 61% （14/23） respectively. Twentythree cases in this group were operated which included 13 cases of tumorectomy, three cases of pancreaticoduodenectomy, five cases of distal end of pancreas and spleen were cut, two cases of segmental pancreatectomy. There were 15 cases of cystoadenoma and 8 cases of cystadenocarcinoma confirmed by postoperative histology study. Postoperative pancreatic fistula was an important complication. Twenty - three cases in this group got follow - up visit, three cases died because of other disease, the cases of the rest were still living and in good health. There were no postoperative recurrence. Conclusions B ultrasonic examination and computer tomography（CT） are the main imageology checking methods for pancreatic cystic tumor which must be operated and can get satisfactory therapeutic effect through correct diagnosis and active operation.
出处
《中国实用医刊》
2009年第8期40-41,共2页
Chinese Journal of Practical Medicine
关键词
胰腺囊性肿瘤
诊断
外科手术
Pancreatic cystic tumor
Diagnosis
Surgery
