| 胰腺实性假乳头状瘤临床诊治分析（附69例报告） |
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| 引用本文： | 赵之明,王敬,李海林,向昕,史宪杰,纪文斌,黄晓强,张文智,董家鸿. 胰腺实性假乳头状瘤临床诊治分析（附69例报告）[J]. 中国现代普通外科进展, 2010, 13(1): 20-23. DOI: 10.3969/j.issn.1009-9905.2010.01.007 |
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| 作者姓名： | 赵之明 王敬 李海林 向昕 史宪杰 纪文斌 黄晓强 张文智 董家鸿 |
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| 作者单位： | 中国人民解放军总医院,肝胆外科,全军肝胆外科研究所,北京,100853 |
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| 摘 要： | 目的：总结胰腺实性假乳头状瘤（SPT）的临床特点及其治疗、预后。方法：回顾性分析69例SPT患者的临床表现、手术治疗、术后并发症及预后情况。结果：SPT位于胰头部24例（占34.8%）、胰颈部15例（占20.3%）、胰体尾部30例（占45.0%）。69例患者均行手术切除,无手术死亡。术后药物性肝功能衰竭1例、胰瘘9例、胃潴留3例,均保守治疗治愈。术后病理明显恶性者3例,其中1例术后26个月死于肿瘤脑转移,1例术后1年肝内及腹腔淋巴结复发、带瘤生存14个月,1例术后40个月无肿瘤复发。结论：SPT是一种低度恶性的胰腺肿瘤,预后相对良好,胰瘘是术后的主要并发症。
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| 关 键 词： | 胰腺肿瘤 胰腺实性假乳头状瘤 诊断 外科手术 预后 |
Analysis of clinical diagnosis and treatment of solid pseudopapillary tumor of pancreas (reports of 69 cases) |
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| ZHAO Zhi-ming,WANG Jing,LI Hai-lin,XIANG Xin,SHI Xian-jie,JI Wen-bin,HUANG Xiao-qiang,ZHANG Wen-zhi,DONG Jia-hong. Analysis of clinical diagnosis and treatment of solid pseudopapillary tumor of pancreas (reports of 69 cases)[J]. Chinese Journal of Current Advances in General Surgery, 2010, 13(1): 20-23. DOI: 10.3969/j.issn.1009-9905.2010.01.007 |
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| Authors: | ZHAO Zhi-ming WANG Jing LI Hai-lin XIANG Xin SHI Xian-jie JI Wen-bin HUANG Xiao-qiang ZHANG Wen-zhi DONG Jia-hong |
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| Affiliation: | Beijing 100853/a>;China |
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| Abstract: | Objective: To summarize the clinical features, surgical treatment and prognosis of solid pseudopapillary tumors(SPT)of pancreas. Methods: The clinical features, surgical treatment, postoperative complications and prognosis of the 69 cases were retrospectively studied. Results: There were 24 cases that the SPT located in the head of pancreas, 15 cases in the neck of pancreas, and 30 cases in the body and tail of pancreas. All the cases were performed operation and with no peri-operative death. And all the po... |
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| Keywords: | Pancreatic neoplasms·Solid pseudopapillary tumors of pancreas·Diagnosis·Surgical operation·Prognosis |
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