胰腺实性假乳头肿瘤的外科治疗(附21例报告)

目的 总结21例胰腺实性假乳头肿瘤(SPT)在本中心的外科治疗方法及其疗效。方法 回顾性分析21例SPT并分成包膜完整组和无完整包膜组,经SAS6．12统计软件包进行统计、分析。结果 所有患者目前无肿瘤复发。肿瘤扩大切除术中各术式的选择与肿瘤部位有显著性差别(P=0．038);肿瘤包膜是否完整与病程(P=0．029)、术中冰冻判断有恶性细胞(P=0．001)及肿瘤大小(P=0．0004)有显著性差异;肿瘤包膜是否完整的判断结果直接影响所采取的手术方式(P=0．001)。结论 手术切除是治疗SPT的有效途径,预后良好。

The surgical treatment of the solid-pseudopapillary tumor of pancreas: report of 21 cases

Objective The surgical therapies and prognoses on 21 solid-pseudopapillary tumors (SPT) of pancreas were summarized in our center. Methods Twenty-one SPTs were retrospectively studied and divided into two groups, the complete capsular group and the incomplete one. The analyses were performed by SAS6.12 Stat. software. Results There are no tumor recurrences in all patients. There are significant difference between operative types in radical resection and the tumor position of the pancreas (P=0.038). There are also significant differences between the capsular integrality and the course of the diseases(P=0.029), and the possible malignant cells by the frozen section examination(P=0.001), and the size of the tumor(P=0.0004). The judgement on the capsular integrality of the tumor could directly effect the adoptable operative types(P=0.001). Conclusions The surgical resection is good treatment for the SPT,which has satisfying prognosis.